Individual provider Active NPI

Carolyn Ilene Miller, MD

  • Dermatology Physician
  • Harrisonburg, VA
National Provider Identifier
1144206236
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101057474 Issued in VA
Practice address
2061 Evelyn Byrd Ave Ste C
Harrisonburg, VA 22801-3442
Phone
(540) 442-8056
Fax
(540) 442-8022
NPI assigned
Dec 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101057474 VA Primary

Addresses

Primary practice location

2061 Evelyn Byrd Ave Ste C
Harrisonburg, VA 22801-3442

Mailing address

2061 Evelyn Byrd Ave Ste C
Harrisonburg, VA 22801-3442
Phone (540) 442-8056

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000268 VA Practitioner - Dermatology 7012953904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2061 Evelyn Byrd Ave
Suite C
Harrisonburg, VA 22801-3442
Phone (540) 442-8056

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision97
Removal of skin lesions1470
Removal or shaving of skin growth1-10
Skin biopsy567

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101057474VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockingham Dermatology, P.C. Dermatology CurrentSince May 13, 2005 Accepting new patients

Locations

2061 Evelyn Byrd Ave
Ste C
Harrisonburg, VA 22801
Phone (540) 442-8056

Interoperability endpoints

  • Direct secure messaging: cimiller@directaddress.net

Organizations & group practices 1

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1144206236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 EVELYN BYRD AVE STE C",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013442",
            "telephone_number": "540-442-8056",
            "fax_number": "540-442-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 EVELYN BYRD AVE STE C",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013442",
            "telephone_number": "540-442-8056",
            "fax_number": "540-442-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAROLYN",
        "middle_name": "ILENE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101057474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.