Individual provider Active NPI

Shawn Jamison Miller, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Bethesda, MD
National Provider Identifier
1043678444
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
0101263022 Issued in VA
Practice address
4494 Palmer Rd N
Bethesda, MD 20814
Phone
(301) 295-9046
NPI assigned
Feb 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 0101263022 VA Primary
Pediatrics Physician 208000000X 0101263022 VA

Addresses

Primary practice location

4494 Palmer Rd N
Bethesda, MD 20814

Mailing address

NBHC NTC San Diego 2051 Cushing Rd
San Diego, CA 92106

Other practice location 1

NMRTC San Diego 34800 Bob Wilson Dr
San Diego, CA 92134
Phone (301) 295-9046

Other practice location 2

NBHC NTC San Diego 2051 Cushing Rd
San Diego, CA 92106
Phone (301) 295-9046

Other names 1

  • Dr. Shawn Jamison Miller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160721002498 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7012200470

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101263022VAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1043678444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NBHC NTC SAN DIEGO 2051 CUSHING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 PALMER RD N",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20814",
            "telephone_number": "301-295-9046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "NMRTC San Diego 34800 Bob Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92134",
            "country_code": "US",
            "telephone_number": "301-295-9046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "NBHC NTC San Diego 2051 Cushing Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92106",
            "country_code": "US",
            "telephone_number": "301-295-9046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHAWN",
        "middle_name": "JAMISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-01",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "VA",
            "license": "0101263022",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101263022",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "MILLER",
            "middle_name": "JAMISON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.