Individual provider Active NPI

Joseph S Miller, M.D.

  • Family Medicine Physician
  • Bellevue, NE
National Provider Identifier
1063456465
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16501 Issued in NE
Practice address
1902 Harlan Dr
Bellevue, NE 68005-6602
Phone
(402) 682-4165
Fax
(402) 934-2291
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X MD-48000 IA
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 16501 NE
Family Medicine Physician 207Q00000X 16501 NE Primary

Addresses

Primary practice location

1902 Harlan Dr
Bellevue, NE 68005-6602

Mailing address

1902 Harlan Dr
Bellevue, NE 68005-6602
Phone (402) 682-4165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20101221000175 NE Practitioner - Family PracticePractitioner - Emergency Medicine 6608965967 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-48000IAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Home Care, Inc. Family Medicine CurrentSince Apr 28, 2024 Accepting new patients
Hillcrest Home Care Inc. CurrentSince Apr 28, 2024 Accepting new patients
Hillcrest Shadow Lake, LLC Past Accepting new patients
Red Oak Health Services Inc Past Accepting new patients

Locations

1820 Hillcrest Dr
Ste A
Bellevue, NE 68005
Phone (402) 682-4808

1820 Hillcrest Dr
Ste B
Bellevue, NE 68005
Phone (402) 682-4808

1902 Harlan Dr
Ste A
Bellevue, NE 68005
Phone (402) 682-4800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18254/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hillcrest HospiceBellevue, NE, CCN 281545 Hospice W-2 Managing Employee Jul 13, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1063456465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HARLAN DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680056602",
            "telephone_number": "402-682-4165",
            "fax_number": "402-934-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HARLAN DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680056602",
            "telephone_number": "402-682-4165",
            "fax_number": "402-934-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IA",
            "license": "MD-48000",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NE",
            "license": "16501",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "16501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.