David Ethan Miller, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0043394 Issued in CO

Practice address

400 S McCaslin Blvd Ste 110
Louisville, CO 80027-9701

Phone

(720) 279-9682

Fax

(720) 279-9687

NPI assigned

Jul 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• David E Miller MD PC

  • Specialist
  • Louisville, CO
  • NPI 1356519383
  Medicare reassignment Authorized official
• James Camp PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Louisville, CO
  • NPI 1205542008
  NPD (past)
• Georgia Department of Human Resources

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1144224767
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1013916972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 110",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "720-279-9682",
            "fax_number": "720-279-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MCCASLIN BLVD STE 110",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279701",
            "telephone_number": "720-279-9682",
            "fax_number": "720-279-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "ETHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "0043394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C805046",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karrin Borchard Mezarina, MD
• Alexandria Mezyad, LPC
• Michael a. Israelson, D.D.S., P.C. & Associates
• Courtney Middle, RD
• Amy Kay Milkavich, PSYD
• David Michael Miller, MD
• John M Miller, DPM
• Jonathan R. Miller, PH.D., BCBA-D
• Lisa Erin Miller, MOT, OTR
• Madeline Brown Miller, MS

• Psychiatry Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.