Active NPI
Edward C Miller, MD
- Interventional Cardiology Physician
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 0101032556
- Practice address
- 300 Medical Pkwy Ste 120
Chesapeake, VA 23320-4985 - Phone
- (757) 252-5660
- Fax
- (757) 548-9443
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101032556 | VA | |
| Cardiovascular Disease Physician | 207RC0000X | 0101032556 | VA | |
| Interventional Cardiology Physician | 207RI0011X | 0101032556 | VA | Primary |
Addresses
Primary practice location
300 Medical Pkwy Ste 120
Chesapeake, VA 23320-4985
Mailing address
300 Medical Pkwy Ste 120
Chesapeake, VA 23320-4985
Phone (757) 252-5660
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| -001 | Other | VA | CHAMPUS/TRICARE |
| 250365 | Other | VA | ATHEM BC/BS VA/HK |
| 263654 | Other | VA | UHC/MAMSI/MDIPA |
| 890582M | Medicaid | NC | |
| PAR | Other | AETNA | |
| PAR | Other | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY | |
| 006013236 | Medicaid | VA | |
| 006053335 | Medicaid | VA | |
| 110130157 | Other | VA | RAILROAD MEDICARE |
| 15070 | Other | VA | OPTIMA/SENTARA |
| PAR | Other | VIRGINIA PREMIER HEALTH | |
| PAR | Other | MULTIPLAN | |
| 0582M | Other | NC | BC/BS NC |
| PAR | Other | CIGNA | |
| PAR | Other | CORVEL/CORCARE | |
| PAR | Other | VIRGINIA HEALTH NETWORK | |
| 15792 | Other | VA | SENTARA OHP/SHP |
| 259542 | Other | VA | ANTHEM BCBS |
| PAR | Other | USA MANAGED CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
| Bayview Physician Services, PC | Internal Medicine | Current | Accepting new patients |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Cardiovascular Assoc LTD | Cardiovascular Disease | Past | Accepting new patients |
Locations
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
612 Kingsborough Sq
Ste 100
Chesapeake, VA 23320
Phone (757) 547-9294
300 Medical Pkwy
Ste 120
Chesapeake, VA 23320
Phone (757) 252-5660
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
400 W Brambleton Ave
Ste 201
Norfolk, VA 23510
Phone (757) 623-3800
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
1708 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 395-5300
2075 Glenn Mitchell Dr
Ste 400
Virginia Beach, VA 23456
Phone (757) 252-9365
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.
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
Internal Medicine
-
- Radiology Clinic/Center
- Suffolk, VA
- NPI 1699865626
-
- Cardiovascular Disease Physician
- Virginia Beach, VA
- NPI 1023062825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589846400000",
"number": "1124094883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEDICAL PKWY STE 120",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204985",
"telephone_number": "757-252-5660",
"fax_number": "757-548-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL PKWY STE 120",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204985",
"telephone_number": "757-252-5660",
"fax_number": "757-548-9443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "EDWARD",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2020-05-19",
"certification_date": "2020-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101032556",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101032556",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101032556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS/TRICARE",
"identifier": "-001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHEM BC/BS VA/HK",
"identifier": "250365",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC/MAMSI/MDIPA",
"identifier": "263654",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890582M",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY",
"identifier": "PAR",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006013236",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006053335",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110130157",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA/SENTARA",
"identifier": "15070",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS NC",
"identifier": "0582M",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL/CORCARE",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "PAR",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OHP/SHP",
"identifier": "15792",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "259542",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "PAR",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.