MILAN MEDICAL GROUP LTD
NPI 1346362589
General Practice in Milan, IL

Active since April 06, 2007CLIA 14D1049387 · Waiver
1929 10TH AVE E, MILAN, IL 61264(309) 787-2600(309) 787-2643 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, Aug 6, 2025, Jun 14, 2025 and 1 more (4 updates tracked since 2020).

About Milan Medical Group Ltd NPPES

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

MILAN MEDICAL GROUP LTD (NPI 1346362589), doing business as Blackwood Family Wellness, is a healthcare organization registered as a general practice in Milan, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Raymond A Burge, Owner, as its authorized official.

NPPES Registry Identity

NPI1346362589
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMILAN MEDICAL GROUP LTD
Location Address1929 10TH AVE EMilan, IL 61264
Mailing Address1929 10th Ave EMilan, IL 61264 · (309) 787-2600 · Fax (309) 787-2643
Fax(309) 787-2643
Organization SubpartNo
Authorized OfficialRaymond A BurgeOwner · (309) 787-2600
Enumeration DateApril 6, 2007
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1346362589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedChiropractorTaxonomy 111N00000X
1929 10TH AVE E, Milan, IL 61264

Other Names 1

Doing Business AsBlackwood Family Wellness

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Milan Medical Group Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Milan Medical Group Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1003636291
1929 10TH AVE E
Milan, IL 61264
(309) 787-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992664262
1929 10TH AVE E
Milan, IL 61264
(309) 787-2600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1629079280
1929 10TH AVE E
Milan, IL 61264
(309) 787-2600
✔ PECOS✔ Accepts Medicare0.1 mi
Chiropractic
NPI 1356340533
1929 E 10TH AVE
Milan, IL 61264
(309) 787-2600
✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1033662044
2217 ROCKINGHAM RD
Davenport, IA 52802
(563) 900-8465
✔ PECOS✔ Accepts Medicare5.7 mi
Family Practice
NPI 1699269308
306 46TH AVE
East Moline, IL 61244
(309) 796-2329
✔ PECOS✔ Accepts Medicare6.0 mi
Family Practice
NPI 1619973989
306 46TH AVE
East Moline, IL 61244
(309) 796-2329
✔ PECOS✔ Accepts Medicare6.9 mi
Chiropractic
NPI 1376716654
863 S PERRYVILLE RD STE 100
Rockford, IL 61108
(779) 423-2044
99 mi

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 Waiver 14D1049387

Milan Medical Group · Milan, IL
Active · expires Jan 3, 2028
CLIA Number14D1049387
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorNancy Lank
Laboratory Phone(309) 787-2600
Laboratory LocationMilan Medical Group1929 E 10th Ave, Milan, IL 61264
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Milan Medical Group Ltd's NPI number?

The NPI number for Milan Medical Group Ltd is 1346362589. It was assigned to this organization in the NPPES registry on April 6, 2007. The provider is doing business as Blackwood Family Wellness.

Where is Milan Medical Group Ltd located?

Milan Medical Group Ltd is located at 1929 10th Ave E, Milan, IL 61264. The listed phone number is (309) 787-2600.

What is Milan Medical Group Ltd's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Milan Medical Group Ltd enrolled in Medicare?

Yes. Milan Medical Group Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Milan Medical Group Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Milan Medical Group Ltd. 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. The largest specialties are Nurse Practitioner (4), Chiropractic (2) and Family Practice (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Milan Medical Group Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1049387) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Milan Medical Group Ltd was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.