Active NPI
Robert J Miller, M.D.
- Radiation Oncology Physician
- Pinellas Park, FL
National Provider Identifier
1063495968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 0034693
- Practice address
- 6600 66TH St N
Pinellas Park, FL 33781-5040 - Phone
- (727) 343-0600
- Fax
- (727) 344-6163
- NPI assigned
- Nov 23, 2005
- Last updated
- Jun 24, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 0034693 | FL | Primary |
Addresses
Primary practice location
6600 66TH St N
Pinellas Park, FL 33781-5040
Mailing address
6600 66TH St N
Pinellas Park, FL 33781-5040
Phone (727) 343-0600
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065329200 | Medicaid | FL | |
| 4095004 | Other | FL | AETNA |
| 083649 | Other | FL | AV-MED |
| 1754116010 | Other | FL | CIGNA |
| 592057918 | Other | FL | HUMANA |
| 146429 | Other | FL | WELLCARE |
| 62276 | Other | FL | BC-BS |
| 146429 | Other | FL | HEALTHEASE |
| 204638 | Other | FL | AMERIGROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0034693 | FL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Spring Cancer Center LLC | Radiation Oncology | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Pinellas Radiation Associates | Radiation Oncology | Past | Accepting new patients |
| Tampa Bay Radiosurgery Management Hillsborough LLC | Past | Accepting new patients |
Locations
6600 66th St N
Pinellas Park, FL 33781
Phone (727) 343-0600
1201 5th Ave N
St Petersburg, FL 33705
Phone (727) 822-6661
Organizations & group practices 5
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.
-
- Radiation Oncology Physician
- Pinellas Park, FL
- NPI 1417134297
-
- Radiation Oncology Clinic/Center
- Pinellas Park, FL
- NPI 1558628404
-
- Radiation Oncology Physician
- St Petersburg, FL
- NPI 1346318953
-
dba Cyberknife Center of Tampa Bay
- Radiation Oncology Clinic/Center
- Tampa, FL
- NPI 1407016678
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592956800000",
"number": "1063495968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 66TH ST N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815040",
"telephone_number": "727-343-0600",
"fax_number": "727-344-6163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 66TH ST N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815040",
"telephone_number": "727-343-0600",
"fax_number": "727-344-6163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "FL",
"license": "0034693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "065329200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4095004",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AV-MED",
"identifier": "083649",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1754116010",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "592057918",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "146429",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS",
"identifier": "62276",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "146429",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "204638",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.