Individual provider Active NPI

Zadok Miller

  • Certified Registered Nurse Anesthetist
  • Glen Allen, VA
National Provider Identifier
1093672057
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024197715 Issued in VA
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

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001274278 VA
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 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, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260616003916 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961974308 Reassigns benefits to 1 organization
I20260617003361 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961974308 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0001274278VAMDRegistered 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.

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.

Verify at the official NPI Registry.