Active NPI
Robert Mac Miley, D.O.
- Family Medicine Physician
- Grand Junction, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR.0066028
- Practice address
- 2020 N 12TH St
Grand Junction, CO 81501-2914 - Phone
- (970) 644-4220
- Fax
- (970) 263-4239
- NPI assigned
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013030080 | MO | |
| Family Medicine Physician | 207Q00000X | DR.0066028 | CO | Primary |
Addresses
Primary practice location
2020 N 12TH St
Grand Junction, CO 81501-2914
Mailing address
PO Box 1727
Grand Junction, CO 81502-1727
Phone (970) 644-4220
Other practice location 1
1765 Commercial St
Warsaw, MO 65355-3096
Phone (660) 438-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144519562 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 N 12TH St
Grand Valley PC
Grand Junction, CO 81501-2914
Phone (970) 263-2600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Bothwell Regional Health Center | Family Medicine | Current | Accepting new patients |
| Bothwell Regional Health Center | Current | Accepting new patients | |
| Bothwell Regional Health Center | Family Medicine | Current | Accepting new patients |
| Community Medical Group, LLC | Family Medicine | Past | Accepting new patients |
| Community Medical Group | Past | Accepting new patients | |
| Community Medical Group | Family Medicine | Past | Accepting new patients |
Locations
101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677
743 Horizon Ct
Ste 100
Grand Junction, CO 81506
Phone (970) 241-7600
2020 N 12th St
Grand Junction, CO 81501
Phone (970) 245-0484
2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 257-1862
731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050
1201 E Main St
Cole Camp, MO 65325
Phone (660) 668-4411
601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833
1765 Commercial St
Warsaw, MO 65355
Phone (660) 438-6800
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Grand Junction, CO
- NPI 1043640634
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1558505503
-
- Specialist
- Grand Junction, CO
- NPI 1720736937
-
- Rural Health Clinic/Center
- Sedalia, MO
- NPI 1033487194
Family Medicine
-
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Family Medicine
-
- Family Medicine Physician
- Grand JCT, CO
- NPI 1629858857
-
- Specialist
- Grand Junction, CO
- NPI 1689098295
-
- Family Medicine Physician
- Grand Junction, CO
- NPI 1629201637
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- Critical Access Hospital
- Fruita, CO
- NPI 1861496697
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1619742806
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1821647801
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1699716027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1144519562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1727",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815021727",
"telephone_number": "970-644-4220",
"fax_number": "970-263-4239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 N 12TH ST",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815012914",
"telephone_number": "970-644-4220",
"fax_number": "970-263-4239"
}
],
"practiceLocations": [
{
"address_1": "1765 Commercial St",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "MO",
"postal_code": "653553096",
"country_code": "US",
"telephone_number": "660-438-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILEY",
"first_name": "ROBERT",
"middle_name": "MAC",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2013030080",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR.0066028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144519562",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.