DR. MARK MILITANA (MD) – Emergency Medicine Physician, NPI 1104872019
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,497 EMERGENCY MEDICINE in VA
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Provider Addresses for DR. MARK MILITANA (MD)
1101, West Franklin Street, Carver, Richmond, Virginia, 23220, United States
RICHMOND, VA 232203709
Phone: (804) 370-3082
Type: Mailing
South Adams Street, Blandford, Petersburg, Virginia, 23803, United States
PETERSBURG, VA 23803
Phone: (804) 862-5680
Fax: (804) 862-5698
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-12-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (890 days ago).
Enrollment records
3
Earliest due date
2023-12-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050126000024 | I | Emergency Medicine | VA | TBD |
| I20141230000972 | I | Internal Medicine | NC | 2023-12-31 |
| I20241203001396 | I | Emergency Medicine | KY | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23220)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | WV | |
| - | AR | |
| Emergency Medicine | MA | |
| - | TN | |
| - | KY | |
| Emergency Medicine, Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | TX | |
| Family Practice, Emergency Medicine | AR |
Reviews
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