NPIMap

Individual provider Active NPI

Richard E. Miller, MD

  • Diagnostic Radiology Physician
  • Kirkland, WA
National Provider Identifier
1093793507
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00020745 Issued in WA
Practice address
12016 87TH Ave NE
Kirkland, WA 98034-6014
Phone
(425) 820-1314
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00020745 WA Primary

Addresses

Primary practice location

12016 87TH Ave NE
Kirkland, WA 98034-6014

Mailing address

12016 87TH Ave NE
Kirkland, WA 98034-6014
Phone (425) 820-1314

Other identifiers 5

IdentifierTypeStateIssuer
202653OtherWAL&I PROVIDER NUMBER
202733OtherWAL&I PROVIDER NUMBER
1026667960001MedicaidPA
8131757MedicaidWA
120929OtherWAL&I PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00020745WAMDDiagnostic Radiology Physician
39673CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4 King County Washington Past Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology Past Accepting new patients
Radia Inc P S Diagnostic Radiology Past Accepting new patients
Swedish First Hill Diagnostic Imaging, LLC Diagnostic Radiology Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Evergreen Radia LLC Diagnostic Radiology Past Accepting new patients
Ramic Federal Way, LLC Past Accepting new patients
Swedish Medical Center-Radia Issaquah Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Imaging Partners at Valley LLC Diagnostic Radiology Past Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients
Open MRI of Federal Way, L.L.C. Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 12

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1093793507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12016 87TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346014",
            "telephone_number": "425-820-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12016 87TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346014",
            "telephone_number": "425-820-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00020745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "202653",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "202733",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026667960001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8131757",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "120929",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.