Edward Marvin Miller, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0019423 Issued in MD

Practice address

5601 Loch Raven Blvd
Russell Morgan Building 3Rd Floor
Baltimore, MD 21239-2905

Phone

(410) 464-5618

Fax

(410) 435-5367

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medstar Medical Group, LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1346514817
  NPD (past) Authorized official
• Franklin Square Hospital Center, Inc.

  dba MedStar Orthopedics

  • Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1952722837
  NPD (past)
• Medstar Physician Partners, Inc

  dba Medlantic Healthcare Group

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1477503118
  NPD (past)
• Medlantic Healthcare Group

  • Specialist
  • Washington, DC
  • NPI 1578777611
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1154317642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "RUSSELL MORGAN BUILDING 3RD FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-464-5618",
            "fax_number": "410-435-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "RUSSELL MORGAN BUILDING 3RD FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-464-5618",
            "fax_number": "410-435-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EDWARD",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0019423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961731100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dinah Miller, M.D.
• Donald Miller, PA
• Douglas C. Miller, D.C.
• Edgar Raymond Miller, M.D.
• Edward Doring Miller, M.D.
• Elizabeth Susan Miller, LCSW-C
• Erin Marie Miller, LCPC
• Ethan A Miller, MD
• Gabriella Michaela Miller, MD
• Glenn R Miller, DC

• Internal Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.

Verify at the official NPI Registry.