Individual provider Active NPI

Venera R Miller, M.D.

  • Psychiatry Physician
  • Prince Frederick, MD
National Provider Identifier
1053349902
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0062658 Issued in MD
Practice address
242 Merrimac Court
Prince Frederick, MD 20678-0022
Phone
(410) 535-6520
Fax
(410) 535-6523
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0062658 MD Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X D0062658 MD
Psychiatry Physician 2084P0800X MD035617 DC
Psychiatry Physician 2084P0800X 0101276346 VA

Addresses

Primary practice location

242 Merrimac Court
Prince Frederick, MD 20678-0022

Mailing address

PO Box 22
Prince Frederick, MD 20678-0022
Phone (410) 535-6520

Other identifiers 1

IdentifierTypeStateIssuer
4096525 00MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090427000082 DC Practitioner - PsychiatryPractitioner - Addiction Medicine 4880639384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone (202) 537-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD035617DCMDPsychiatry Physician
D0062658MDMDPsychiatry Physician
0101276346VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians CurrentSince Mar 1, 2026 Accepting new patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
Johns Hopkins Community Physicians CurrentSince Mar 1, 2026 Accepting new patients

Locations

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

Interoperability endpoints

  • Direct secure messaging: veneramiller@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1053349902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780022",
            "telephone_number": "410-535-6520",
            "fax_number": "410-535-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 MERRIMAC COURT",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780022",
            "telephone_number": "410-535-6520",
            "fax_number": "410-535-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "VENERA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0062658",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D0062658",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD035617",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101276346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4096525 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.