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MARY MILAM, M.D., P.A.
NPI 1174786933
Internal Medicine - Hematology & Oncology in Fort Worth, TX

Active since July 02, 2008CLIA 45D0895512 · Certificate of Compliance
1307 8TH AVE, SUITE 205, FORT WORTH, TX 76104(817) 924-4300(817) 924-1493 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Milam, M.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MILAM, M.D., P.A. (NPI 1174786933) is a healthcare organization registered as a hematology & oncology in Fort Worth, Texas and active in the NPI registry since July 2008. The organization holds a CLIA Certificate of Compliance certificate valid through March 16, 2027 and lists Mary Milam, Owner, as its authorized official.

NPPES Registry Identity

NPI1174786933
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMARY MILAM, M.D., P.A.
Location Address1307 8TH AVE, SUITE 205Fort Worth, TX 76104-4137
Mailing Address1307 8th Ave, Suite 205Fort Worth, TX 76104-4137 · (817) 924-4300 · Fax (817) 924-1493
Phone(817) 924-4300
Fax(817) 924-1493
Organization SubpartNo
Authorized OfficialMary MilamOwner · (817) 924-4300
Enumeration DateJuly 2, 2008
Last NPPES UpdateJuly 14, 2008
✔ NPI 1174786933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · E4529
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1307 8TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN00H48UTX
Medicaid135615604TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Milam, M.d., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mary Milam, M.D., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Milam, MD
Medical Oncology
NPI 1063415735
1307 8TH AVE SUITE 205
Fort Worth, TX 76104
(817) 924-4300
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D0895512

Mary Milam MD, PA · Fort Worth, TX
Active · expires Mar 16, 2027
CLIA Number45D0895512
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorMary Milam
Laboratory Phone(817) 924-4300
Laboratory LocationMary Milam MD, PA1307 8th Avenue Suite 205, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Milam, M.D., P.A.'s NPI number?

The NPI number for Mary Milam, M.D., P.A. is 1174786933. It was assigned to this organization in the NPPES registry on July 2, 2008.

Where is Mary Milam, M.D., P.A. located?

Mary Milam, M.D., P.A. is located at 1307 8th Ave Suite 205, Fort Worth, TX 76104. The listed phone number is (817) 924-4300.

What is Mary Milam, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mary Milam, M.D., P.A. enrolled in Medicare?

Yes. Mary Milam, M.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary Milam, M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Medical Oncology) reassigns their Medicare billing to Mary Milam, M.D., P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mary Milam, M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0895512) is associated with this NPI, valid through March 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mary Milam, M.D., P.A. was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.