MILANI M PHILIP FNP- BC
NPI 1285195784
Nurse Practitioner - Family in Chicago, IL
Quality Rating: 93.63 out of 100 score
NPI Status: Active since March 27, 2019
Contact Information
4051 N LINCOLN AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 871-2611
- Individual
- Female
- Nurse Practitioner
- Family
- Accepts Insurance
- Opted-Out Medicare
About MILANI PHILIP
This page provides the complete NPI Profile along with additional information for Milani Philip, a provider established in Chicago, Illinois with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1285195784 assigned on March 2019. The practitioner's primary taxonomy code is 363LF0000X with license number 209017016 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1285195784
- Provider Name
- MILANI M PHILIP FNP- BC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4051 N LINCOLN AVE CHICAGO, IL 60618
- Location Phone
- (773) 871-2611
- Mailing Address
- 4051 N LINCOLN AVE CHICAGO, IL 60618
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-27-2019
- Last Update Date
- 02-09-2022
- Code Navigator
A nurse practitioner (NP) like Milani Philip is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Milani Philip opted out of Medicare effective on 02-25-2023 until 02-25-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209017016
- License State
- IL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-25-2023
Opt-Out End Date: 02-25-2025
Eligible to Order and Refer? No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 542 times for 522 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.63, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 93.63 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 97.7
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 82.98
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 82.98
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Reviews for MILANI M PHILIP FNP- BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 8 | 5 | 1 | 9 | 5 | 7 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 16 | 5 | 2 | 9 | 10 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 6 + 5 + 2 + 9 + 1 + 0 + 7 + 1 + 6 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1285195784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699950576 | ANNE-MARIE MAIDA FNP-BC Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-2611 |
| 1902847874 | HIGHLAND PARK CVS LLC Organization | Pharmacy | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-2611 |
| 1811320989 | KATHRYN MERRICK APRN Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (866) 389-2727 |
| 1669076667 | ANISHA GROVER Individual | Pharmacist | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-2611 |
| 1912594755 | DMITRIY KHUTORYANSKIY Individual | Pharmacist | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-2611 |
| 1386127579 | MARGARET MARY TOBIN Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (866) 389-2727 |
| 1881097301 | MRS. SYRA POSTELNICK FNP Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-2611 |
| 1417416702 | ANNA SUZETTE LOBO Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-2611 |
| 1538812490 | JESSICA TIMMINS FNP Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-2611 |
| 1720676760 | MRS. TANISHA JENEICE RAYSON-HENRY FNP Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-6516 |
| 1598382491 | MELISSA TATIANA TORRES-NUNO FNP Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (773) 871-2611 |
| 1104234087 | LAUREN KATHRYN MCCARTHY Individual | Nurse Practitioner (Family) | 4051 N LINCOLN AVE CHICAGO, IL 60618 (866) 389-2727 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285195784, enumerated in the NPI registry as an "individual" on March 27, 2019
The provider is located at 4051 N Lincoln Ave Chicago, Il 60618 and the phone number is (773) 871-2611
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , coordinates care and seeks improvement of health outcomes.
The most common procedures or services performed by this practitioner are: Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional.
No, the provider signed an affidavit on February 25, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 25, 2025.
This NPI record was last updated on March 27, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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