Individual provider Active NPI

Dena Miller, MD

  • Diagnostic Radiology Physician
  • Middletown, CT
National Provider Identifier
1053351064
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
232210 Issued in NY
Practice address
28 Crescent St
Middletown, CT 06457-3654
Phone
(860) 358-6000
Fax
(860) 358-6071
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 38133 CT
Diagnostic Radiology Physician 2085R0202X 232210 NY Primary

Addresses

Primary practice location

28 Crescent St
Middletown, CT 06457-3654

Mailing address

28 Crescent St
Middletown, CT 06457-3654

Other practice location 1

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3280

Other practice location 2

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1401

Other practice location 3

600 Westage Business Ctr Dr
Fishkill, NY 12524-2281
Phone (845) 231-5600

Other practice location 4

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3482

Other practice location 5

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5590

Other practice location 6

1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 373-4448

Other practice location 7

2 Empire Dr
Rensselaer, NY 12144-5730
Phone (518) 286-4899

Other practice location 8

279 Troy Rd
Rensselaer, NY 12144-9518
Phone (518) 880-6300

Other practice location 9

713 Troy Schenectady Rd Ste 304
Latham, NY 12110-2490
Phone (518) 373-4448

Other practice location 10

1270 Belmont Ave
Schenectady, NY 12308-2104
Phone (518) 382-4558

Other practice location 11

Elm and Carlton st
Buffalo, NY 14263-0001
Phone (718) 845-2300

Other identifiers 3

IdentifierTypeStateIssuer
001381334MedicaidCT
02883136MedicaidNY
A400154401OtherNYMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070321000664 CT Practitioner - Diagnostic Radiology 6608867619 Reassigns benefits to 2 organizations
I20070726000851 NY Practitioner - Diagnostic Radiology 6608867619 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

15636 A Crossbay Blvd
Howard Beach, NY 11414-2745
Phone (718) 738-0700

2322 30TH Ave
Astoria, NY 11102-3255
Phone (718) 267-2763

5901 69TH St
Maspeth, NY 11378-2946
Phone (718) 639-3338

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38133CTMDDiagnostic Radiology Physician
232210NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 10, 2016 Accepting new patients
Optum Medical Care, P.C. Diagnostic Radiology CurrentSince Sep 10, 2016 Accepting new patients
Guilford Radiology LLC Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients
Ellis Hospital CurrentSince Sep 29, 2023 Accepting new patients
Radiologic Associates of Middletown PC Diagnostic Radiology CurrentSince May 15, 2024 Accepting new patients
Roswell Park Cancer Institute CurrentSince Sep 4, 2023 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Diagnostic Radiology CurrentSince Sep 18, 2023 Accepting new patients
Roswell Park Cancer Institute CurrentSince Sep 4, 2023 Accepting new patients
Umass Memorial Radiology Phys Serv Diagnostic Radiology Past Accepting new patients
Stamford Radiological Associates Diagnostic Radiology Past Accepting new patients
Sound Shore Physician Services Past Accepting new patients
Borg Imaging Group LLP Past Accepting new patients

Locations

1591 Boston Post Rd
Ste 106
Guilford, CT 06437

2A Samson Rock Dr
Madison, CT 06443
Phone (203) 245-5904

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

Elm and Carlton St
Buffalo, NY 14263

Dept 8000
Buffalo, NY 14267

1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444

713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

2 Empire Dr
Rensselaer, NY 12144
Phone (518) 286-3990

279 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1922

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Philadelphia, PA 19195

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: dmiller87755@direct.optum.com
  • Direct secure messaging: dmiller2897312@direct.trinity-health.org

Organizations & group practices 12

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1053351064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6000",
            "fax_number": "860-358-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041004",
            "country_code": "US",
            "telephone_number": "518-471-3280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Westage Business Ctr Dr",
            "address_purpose": "LOCATION",
            "city": "Fishkill",
            "state": "NY",
            "postal_code": "125242281",
            "country_code": "US",
            "telephone_number": "845-231-5600",
            "fax_number": "845-592-7713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Tallow Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652807",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Empire Dr",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-286-4899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 Troy Rd",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121449518",
            "country_code": "US",
            "telephone_number": "518-880-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Troy Schenectady Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121102490",
            "country_code": "US",
            "telephone_number": "518-373-4448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082104",
            "country_code": "US",
            "telephone_number": "518-382-4558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Elm and Carlton st",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142630001",
            "country_code": "US",
            "telephone_number": "718-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "38133",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "232210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001381334",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02883136",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400154401",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.