Individual provider Active NPI

Darlene M. Miltenburg, M.D.

  • Surgery Physician
  • Erie, PA
National Provider Identifier
1982664413
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD487207 Issued in PA
Practice address
300 State St Ste 107
Erie, PA 16507-1428
Phone
(814) 877-3900
Fax
(814) 877-3950
NPI assigned
Mar 27, 2006
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K6890 TX
Surgery Physician 208600000X MD487207 PA Primary

Addresses

Primary practice location

300 State St Ste 107
Erie, PA 16507-1428

Mailing address

300 State St Ste 107
Erie, PA 16507-1428
Phone (814) 877-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100204000694 TX Practitioner - General Surgery 3971646506 Reassigns benefits to 1 organization
Practice locations: Houston, TX
I20241113002273 PA Practitioner - General Surgery 3971646506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

300 State St
Suite 107
Erie, PA 16507-1428
Phone (814) 877-3900

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33112TXMDDentist
MD487207PAMDSurgery Physician
K6890TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Surgery CurrentSince Dec 1, 2024 Accepting new patients
Advanced Surgeons & Physicians Network, Inc. Surgery CurrentSince Apr 1, 2018 Accepting new patients
Baylor College of Medicine Surgery Past Accepting new patients
Henry Y. Su M.D., P.a. PastSince Jan 24, 2021 Accepting new patients

Locations

300 State St
Ste 107
Erie, PA 16507
Phone (814) 877-3900

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

12950 East Fwy
Houston, TX 77015
Phone (281) 338-3209

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

Interoperability endpoints

  • Direct secure messaging: darlene.m.miltenburg@upmcdirect.com
  • Direct secure messaging: dmiltenburg1192890@direct.sw.org
  • Direct secure messaging: dmiltenburg21361@directhoustonmethodist.org
  • Direct secure messaging: dmiltenburg538672@upmc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1982664413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 107",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071428",
            "telephone_number": "814-877-3900",
            "fax_number": "814-877-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST STE 107",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071428",
            "telephone_number": "814-877-3900",
            "fax_number": "814-877-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTENBURG",
        "first_name": "DARLENE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K6890",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD487207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.