Individual provider Active NPI

Abbie Mae Buck Miller, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1104971407
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101238313 Issued in VA
Practice address
1500 Galen St SE
Washington, DC 20020-4913
Phone
(202) 877-2835
Fax
(202) 877-8288
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101238313 VA Primary

Addresses

Primary practice location

1500 Galen St SE
Washington, DC 20020-4913

Mailing address

110 Irving St NW
Suite 1a-50
Washington, DC 20010-3017
Phone (202) 877-2835

Other identifiers 3

IdentifierTypeStateIssuer
027428500MedicaidMD
089330300MedicaidDC
1104971407MedicaidVA

Other names 1

  • Abbie Mae B Miller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000512 DC Practitioner - Internal Medicine 0244418135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1133 21St St NW
Medstar at Lafayette Centre
Washington, DC 20036-3390
Phone (202) 416-2000

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101238313VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Feb 15, 2017 Accepting new patients
Unity Health Care Inc. CurrentSince Feb 15, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Irving St NW
Ste 1A50
Washington, DC 20010

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

1500 Galen St SE
Washington, DC 20020
Phone (202) 610-7160

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

850 Delaware Ave SW
Washington, DC 20024
Phone (202) 548-4520

Organizations & group practices 4

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1104971407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "SUITE 1A-50",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-2835",
            "fax_number": "202-877-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 GALEN ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200204913",
            "telephone_number": "202-877-2835",
            "fax_number": "202-877-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ABBIE MAE",
        "middle_name": "BUCK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101238313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027428500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "089330300",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104971407",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBIE MAE",
            "last_name": "MILLER",
            "middle_name": "B",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.