Individual provider Active NPI

Kimberly R Miller-Miles, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Houston, TX
National Provider Identifier
1003818394
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
M0493 Issued in TX
Practice address
7900 Fannin St Ste 4400
Women'S Pelvic Restorative Center, PLLC
Houston, TX 77054-2949
Phone
(713) 512-7600
Fax
(281) 338-2982
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X M0493 TX
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X M0493 TX Primary

Addresses

Primary practice location

7900 Fannin St Ste 4400
Women'S Pelvic Restorative Center, PLLC
Houston, TX 77054-2949

Mailing address

7900 Fannin St Ste 4400
Women'S Pelvic Restorative Center, PLLC
Houston, TX 77054-2949
Phone (713) 512-7600

Other identifiers 2

IdentifierTypeStateIssuer
P00338570OtherTXRAILROAD
8J0892OtherTXBLUE CROSS & BLUE SHIELD

Other names 1

  • Kimberly R Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001083 TX Practitioner - Obstetrics/Gynecology 9436121282 Reassigns benefits to 1 organization
Practice locations: Webster, TX

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

251 W Medical Ctr Blvd
Suite 230
Webster, TX 77598-4242
Phone (713) 578-3860

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M0493TXMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jan 1, 2015 Accepting new patients
Privia Medical Group Gulf Coast, PLLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Jan 1, 2015 Accepting new patients
Obstetrical and Gynecological Associates, P.a. Past Accepting new patients

Locations

1135 E Cedar St
Angleton, TX 77515
Phone (281) 331-0915

7900 Fannin St
Ste 4400
Houston, TX 77054
Phone (713) 512-7900

7900 Fannin St
Houston, TX 77054
Phone (713) 512-7505

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

22999 Highway 59 N
Ste 150
Kingwood, TX 77339
Phone (281) 358-2426

10223 Broadway St
Ste E
Pearland, TX 77584
Phone (713) 340-2848

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

251 W Medical Center Blvd
Ste 230
Webster, TX 77598
Phone (281) 603-9200

450 W Medical Center Blvd
Ste 410
Webster, TX 77598
Phone (713) 578-3860

Interoperability endpoints

  • Direct secure messaging: kimberly.miller-miles.1@8042.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1003818394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 4400",
            "address_2": "WOMEN'S PELVIC RESTORATIVE CENTER, PLLC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542949",
            "telephone_number": "713-512-7600",
            "fax_number": "281-338-2982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 4400",
            "address_2": "WOMEN'S PELVIC RESTORATIVE CENTER, PLLC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542949",
            "telephone_number": "713-512-7600",
            "fax_number": "281-338-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-MILES",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "M0493",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "TX",
            "license": "M0493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00338570",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "8J0892",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MILLER",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.