Active NPI
Thomas Robert Miller, MD
- Nephrology Physician
- Knoxville, TN
National Provider Identifier
1013900273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD11224
- Practice address
- 3734 Martin Mill Pike
Knoxville, TN 37920-2453 - Phone
- (865) 579-5322
- Fax
- (865) 579-5329
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD11224 | TN | Primary |
Addresses
Primary practice location
3734 Martin Mill Pike
Knoxville, TN 37920-2453
Mailing address
1932 Alcoa Hwy
C 460
Knoxville, TN 37920-1527
Phone (865) 546-9246
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3723987 | Medicaid | TN | |
| 3153678 | Other | TN | BLUECROSS/BLUESHIELD |
| 390007316 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD11224 | TN | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345766400000",
"number": "1013900273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 ALCOA HWY",
"address_2": "C 460",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201527",
"telephone_number": "865-546-9246",
"fax_number": "865-523-6466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3734 MARTIN MILL PIKE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379202453",
"telephone_number": "865-579-5322",
"fax_number": "865-579-5329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "THOMAS",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2012-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "MD11224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3723987",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "3153678",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "390007316",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.