Active NPI
Zadok Miller
- Certified Registered Nurse Anesthetist
- Glen Allen, VA
National Provider Identifier
1093672057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024197715
- Practice address
- 11409 Haltonshire Way
Glen Allen, VA 23059-4837 - Phone
- (804) 926-1611
- NPI assigned
- Jan 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001274278 | VA | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024197715 | VA | Primary |
Addresses
Primary practice location
11409 Haltonshire Way
Glen Allen, VA 23059-4837
Mailing address
11409 Haltonshire Way
Glen Allen, VA 23059-4837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, PA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Woodbridge Ctr Dr
Woodbridge, NJ 07095-1170
1305 Walt Whitman Rd
Suite 300
Melville, NY 11747-4300
5550 Franklin Pike
Suite 201
Nashville, TN 37220-2129
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001274278 | VA | MD | Registered Nurse |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1093672057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11409 HALTONSHIRE WAY",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11409 HALTONSHIRE WAY",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594837",
"telephone_number": "804-926-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ZADOK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-01-09",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001274278",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024197715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.