Individual provider Active NPI

Robert J Miller, M.D.

  • Radiation Oncology Physician
  • Pinellas Park, FL
National Provider Identifier
1063495968
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0034693 Issued in FL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
065329200MedicaidFL
4095004OtherFLAETNA
083649OtherFLAV-MED
1754116010OtherFLCIGNA
592057918OtherFLHUMANA
146429OtherFLWELLCARE
62276OtherFLBC-BS
146429OtherFLHEALTHEASE
204638OtherFLAMERIGROUP

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000775 FL Practitioner - Radiation Oncology 2668431420 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0034693FLMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Well Spring Cancer Center LLC Radiation Oncology CurrentSince Apr 1, 2008 Accepting new patients
Major Hospital Past Accepting new patients
Pinellas Radiation Associates Radiation Oncology Past Accepting new patients
Tampa Bay Radiosurgery Management Hillsborough LLC PastSince Mar 3, 2009 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.

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

Verify at the official NPI Registry.