Individual provider Active NPI

Richard Eric Miller, M.D.

  • Nephrology Physician
  • Brookhaven, MS
National Provider Identifier
1053533406
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18980 Issued in MS
Practice address
513-C Brookman Dr
Brookhaven, MS 39601-2399
Phone
(601) 833-3822
Fax
(601) 835-4330
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 18980 MS Primary

Addresses

Primary practice location

513-C Brookman Dr
Brookhaven, MS 39601-2399

Mailing address

4701 Lakeland Dr
Apt 28-C
Flowood, MS 39232-9506
Phone (601) 405-1593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070815000471 MS Practitioner - NephrologyPractitioner - Internal Medicine 6305938739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Mississippi School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Ms Nephrology, PLLCGroup PAC ID 0345203857, 4 clinicians

Practice addresses (Care Compare)

513 C Brookman Dr
Brookhaven, MS 39601-2326
Phone (601) 833-3822

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ms Nephrology, PLLC Nephrology CurrentSince Jul 1, 2007 Accepting new patients

Locations

513C Brookman Dr
Brookhaven, MS 39601
Phone (601) 833-3822

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: rmiller24220@direct.acumenmd.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053533406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 LAKELAND DR",
            "address_2": "APT 28-C",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329506",
            "telephone_number": "601-405-1593",
            "fax_number": "601-984-5675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513-C BROOKMAN DR",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "396012399",
            "telephone_number": "601-833-3822",
            "fax_number": "601-835-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MS",
            "license": "18980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, MS

Sources for this page

Verify at the official NPI Registry.