Individual provider Active NPI

Robert Miller Jr., M.D

  • Internal Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1063825511
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MED-PHYS-LIC-131944 Issued in MT
Practice address
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone
(386) 425-4542
Fax
(386) 425-7705
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 287688 NY
Hospitalist Physician 208M00000X ME137702 FL
Internal Medicine Physician 207R00000X MED-PHYS-LIC-131944 MT Primary

Addresses

Primary practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114

Mailing address

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone (386) 226-4590

Other practice location 1

101 Nicolls Rd
Health Science Center T16-020
Stony Brook, NY 11790-0001
Phone (631) 444-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, UT, MT, MN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20181220001007 FL Practitioner - Hospitalist 6901177690 Reassigns benefits to 3 organizations
I20221031001832 UT Practitioner - Internal Medicine 6901177690 Reassigns benefits to 1 organization
I20240105003579 MT Practitioner - Hospitalist 6901177690 Reassigns benefits to 1 organization
I20241029004347 MN Practitioner - Internal Medicine 6901177690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians

Practice addresses (Care Compare)

1200 6TH N Ave
Saint Cloud, MN 56303-2735
Phone (320) 252-5131

60 Memorial Medical Pkwy
Palm Coast, FL 32164-5980
Phone (386) 586-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-131944MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Internal Medicine CurrentSince Jan 6, 2023 Accepting new patients
Billings Clinic Internal Medicine CurrentSince Jan 6, 2023 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Centracare Clinic CurrentSince Oct 16, 2024 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Oct 7, 2022 Accepting new patients
Halifax Healthcare Systems Inc Hospitalist CurrentSince Nov 1, 2018 Accepting new patients
Centracare Clinic CurrentSince Oct 16, 2024 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Utah Regional Hospitalists LLC Hospitalist CurrentSince Oct 7, 2022 Accepting new patients
Centracare Clinic Past Accepting new patients
St. Cloud Hospital Past Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3100 E Fletcher Ave
#C
Tampa, FL 33613

1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342

2800 10th Ave N
Ste D
Billings, MT 59101
Phone (406) 657-4100

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1200 E 3900 S
Slc, UT 84124
Phone (801) 268-7111

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Interoperability endpoints

  • Direct secure messaging: rmiller845235@direct.centracare.com

Organizations & group practices 14

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.

View all 14

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1063825511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-226-4590",
            "fax_number": "386-226-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "32114",
            "telephone_number": "386-425-4542",
            "fax_number": "386-425-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Nicolls Rd",
            "address_2": "Health Science Center T16-020",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117900001",
            "country_code": "US",
            "telephone_number": "631-444-8478",
            "fax_number": "631-444-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "287688",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME137702",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-131944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.