1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Emergency Medicine
  6. NPI Profile

MARY GRACE MILAM
NPI 1447954359
Emergency Medicine in Philadelphia, PA

Active since March 27, 2023PECOS Enrolled
3400 SPRUCE ST, PHILADELPHIA, PA 19104(540) 815-9015 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2024, Mar 27, 2023 (2 updates tracked since 2023).

About Mary Grace Milam NPPES

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

MARY GRACE MILAM (NPI 1447954359) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT231982) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1447954359
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARY GRACE MILAM
Location Address3400 SPRUCE STPhiladelphia, PA 19104-4238
Mailing Address1720 Sansom St Unit 1Philadelphia, PA 19103-5207 · (540) 815-9015
Phone(540) 815-9015
Sole ProprietorYes
Enumeration DateMarch 27, 2023
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1447954359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MT231982
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3400 SPRUCE ST, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Location 1

Location 11906 Belleview Ave SERoanoke, VA 24014-1838 · Phone (540) 266-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Grace Milam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH FOGLIA MD
Pediatrics
3400 SPRUCE ST, 8 RAVDIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3228
JOEL M STEIN MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3005
PRISCILLA NELSON M.D.
Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Philadelphia County (215) 349-8310
DR. JASON THOMAS ACKRIVO MD
Internal Medicine (Pulmonary Disease)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 614-0871
JEAN-PHILIPPE RICHARD DMD
Student in an Organized Health Care Education/Training Program
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6176
LEAH M LOPEZ PA-C
Physician Assistant (Medical)
3400 SPRUCE ST, 4 SILVERSTEIN
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-7870
JOANIE M GARRATT MD
Radiology (Diagnostic Radiology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3000
JENNIFER DEKERLEGAND
Physical Therapist
3400 SPRUCE ST, 1 WHITE BUILDING
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3265

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's NPI number?

The NPI number for Mary Milam is 1447954359. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Mary Milam located?

Mary Milam practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (540) 815-9015.

What is Mary Milam's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mary Milam enrolled in Medicare?

Yes. Mary Milam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Milam was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.