Individual provider Active NPI

Michael B Miller, M.D.

  • Neuroradiology Physician
  • Lewiston, ME
National Provider Identifier
1114907623
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
015807 Issued in ME
Practice address
300 Main St
Lewiston, ME 04240-7007
Phone
(207) 795-2400
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 015807 ME Primary
Diagnostic Radiology Physician 2085R0202X MD15807 ME

Addresses

Primary practice location

300 Main St
Lewiston, ME 04240-7007

Mailing address

PO Box 488
Auburn, ME 04212-0488
Phone (207) 786-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050602000790 ME Practitioner - Diagnostic Radiology 8426091224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Connecticut School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
X-Ray Professional AssociationGroup PAC ID 8628086766, 9 clinicians

Practice addresses (Care Compare)

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

Hospital & facility affiliations

  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024
  • Bridgton Hospital Hospital, Bridgton, ME, CCN 201310
  • Rumford Hospital Hospital, Rumford, ME, CCN 201306

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015807MEMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shields Pet/CT at CMMC, LLC CurrentSince Aug 13, 2018 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince May 12, 2008 Accepting new patients
Lower Bucks Radiology Associates PC Diagnostic Radiology Past Accepting new patients
Brait Partnow Margolin & Sharetts MDS PA Diagnostic Radiology Past Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

2 Independence Dr
Kennebunk, ME 04043
Phone (207) 303-3300

12 High St
Ste 103
Lewiston, ME 04240
Phone (207) 795-2100

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

12 Bates St
Ste C
Lewiston, ME 04240

12 High St
Ste 101
Lewiston, ME 04240
Phone (207) 795-5780

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

105 Topsham Fair Mall Rd
Unit 1
Topsham, ME 04086
Phone (207) 303-3300

15 Rock Row
Ste 110
Westbrook, ME 04092
Phone (207) 303-3300

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.

Hospital & facility affiliations 3

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1114907623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042120488",
            "telephone_number": "207-786-3571",
            "fax_number": "207-783-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407007",
            "telephone_number": "207-795-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ME",
            "license": "015807",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD15807",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.