Active NPI
Linda Miller
- General Practice Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 175844
- Practice address
- 675 E 2100 S
Salt Lake City, UT 84106-1887 - Phone
- (800) 366-1884
- Fax
- (801) 487-8197
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 175844 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 175844 | NY |
Addresses
Primary practice location
675 E 2100 S
Salt Lake City, UT 84106-1887
Mailing address
84-25 Kendrick Place
Jamaica Estates, NY 11432
Phone (800) 613-0272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267402000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4108 Ave U
Brooklyn, NY 11234-5120
Phone (718) 252-2582
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175844 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Optum Urgent Care, PLLC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Excel Urgent Care of Wantagh PLLC | Current | Accepting new patients | |
| Bethany Medical Clinic of New York, PLLC | Current | Accepting new patients |
Locations
1305 Kings Hwy
Brooklyn, NY 11229
Phone (718) 280-5172
4108 Avenue U
Brooklyn, NY 11234
Phone (718) 252-2581
555 N Broadway
Jericho, NY 11753
Phone (516) 597-5070
2800 Marcus Ave
New Hyde Park, NY 11042
Phone (516) 622-6131
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
200 W 57th St
Ste 601
New York, NY 10019
Phone (315) 201-0621
2960 Victory Blvd
Staten Island, NY 10314
Phone (718) 370-2014
3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Wantagh, NY
- NPI 1184067936
-
- Internal Medicine Physician
- New York, NY
- NPI 1902173313
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Urgent Care Clinic/Center
- Jericho, NY
- NPI 1285975797
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1861870206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1124101878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84-25 KENDRICK PLACE",
"city": "JAMAICA ESTATES",
"state": "NY",
"postal_code": "11432",
"telephone_number": "800-613-0272",
"fax_number": "800-613-0272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 E 2100 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841061887",
"telephone_number": "800-366-1884",
"fax_number": "801-487-8197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LINDA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "175844",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "175844",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267402000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.