Individual provider Active NPI

Joe Miller, M.D.

  • Urology Physician
  • Kailua Kona, HI
National Provider Identifier
1093936692
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
125-050838 Issued in IL
Practice address
78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408
Phone
(808) 909-3158
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0101242356 VA
Urology Physician 208800000X M-2402 GU
Urology Physician 208800000X 125-050838 IL Primary

Addresses

Primary practice location

78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408

Mailing address

78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408
Phone (808) 909-3139

Other practice location 1

301 N 8th St
Springfield, IL 62701-1041
Phone (217) 545-7500

Other practice location 2

1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU, HI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241205003301 GU Practitioner - Urology 1052597069 Reassigns benefits to 1 organization
I20250425001869 HI Practitioner - Urology 1052597069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Southern Illinois University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians
Alii Health CenterGroup PAC ID 4486984549, 50 clinicians

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

78 -6831 Alii Dr
Suite 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321

Hospital & facility affiliations

  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-050838ILMDUrology Physician
0101242356VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Dec 16, 2024 Accepting new patients
Ali'I Health Center CurrentSince Apr 19, 2025 Accepting new patients
Alii Health Center CurrentSince Apr 19, 2025 Accepting new patients
Alii Health Center Urology PastSince Feb 14, 2021 Accepting new patients
Alii Health Center Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

75-5905 Walua Rd
Ste 4
Kailua Kona, HI 96740
Phone (808) 331-7960

78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725

78-6831 Alii Dr
Ste E239
Kailua Kona, HI 96740

78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321

78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321

Networks

  • HI PPO

Interoperability endpoints

  • Direct secure messaging: joe.miller@hca6.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1093936692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 328",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967404408",
            "telephone_number": "808-909-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 328",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967404408",
            "telephone_number": "808-909-3158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N 8th St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627011041",
            "country_code": "US",
            "telephone_number": "217-545-7500",
            "fax_number": "217-545-7305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 Braeburn Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537357",
            "country_code": "US",
            "telephone_number": "540-772-3702",
            "fax_number": "540-772-3703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0101242356",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GU",
            "license": "M-2402",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125-050838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.