MILDRED J WILLY (MD) – Emergency Medicine Physician, NPI 1407982291

MILDRED J WILLY (MD) is a healthcare provider. based in Munster, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01078101A (IN). The NPI Number for MILDRED J WILLY (MD) is 1407982291

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
MILDRED J WILLY (MD)
NPI
1407982291
Phone
(219) 702-2420
Address
1946 45th St
Enumeration Date
26 February 2007
Last Update Date
15 December 2018

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9896338018
Graduation Year
1996 (30 years ago)
PAC ID
7416943154
Group Practice PAC ID
2264323633
Professional Enrollment ID
I20040420001657
Address ID
MI486702000MI4000XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,266 EMERGENCY MEDICINE in IN

Provider Addresses for MILDRED J WILLY (MD)

  • 1946 45th St

    Munster, IN 463213986

    Phone: (219) 702-2420

    Type: Location

  • 9660 Wicker Ave

    Saint John, IN 463739487

    Phone: (219) 365-1166

    Type: Location

  • 7651 Harvest Dr

    Schererville, IN 463753476

    Phone: (219) 322-5723

    Type: Location

  • 5576 HICKORY LN

    BAY CITY, MI 487069722

    Phone: (989) 686-3824

    Type: Mailing

  • 800 S WASHINGTON AVE

    SAGINAW, MI 486012551

    Phone: (989) 793-7220

    Fax: (989) 793-7482

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-01-27 • Largest payer in this snapshot: BrainScope Company, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-27

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
BrainScope Company, Inc.$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040420001657IEmergency MedicineMITBD
I20181031002048IEmergency MedicineINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making5352$0
99284Emergency department visit with moderate level of medical decision making4646$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2424$0
View full utilization report →

Insurance plans in this area (ZIP 46321)

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Provider's Procedures

MILDRED J WILLY (MD) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report239231

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264323633View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Pulmonary Disease, Critical Care (Intensivists)MI
Physician AssistantMI
-MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

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Frequently asked questions

What number should I use to identify MILDRED J WILLY (MD) for billing?
Administrative and clinical systems typically use NPI 1407982291 for MILDRED J WILLY (MD).
Is MILDRED J WILLY (MD) currently accepting referrals based on NPI status?
Registry metadata lists MILDRED J WILLY (MD) as active.
What services align with MILDRED J WILLY (MD)'s listing?
MILDRED J WILLY (MD)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MILDRED J WILLY (MD) in Munster, Indiana?
For routing, start with Munster, Indiana for MILDRED J WILLY (MD), then verify phone and hours locally.
Who maintains MILDRED J WILLY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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