Conrad Miller, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

112445 Issued in NY

Practice address

101 Hospital Road
Medical Center
Patchogue, NY 11772

Phone

(631) 654-7236

Fax

(610) 617-6280

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

No

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.

• Carespot Professional Services LLC

  • Urgent Care Clinic/Center
  • Overland Park, KS
  • NPI 1568703783
  NPD
• Brookhaven Memorial Hospital Medical Center

  • Diagnostic Radiology Physician
  • Patchogue, NY
  • NPI 1114014065
  NPD (past)
• Emergency Medicine Physicians of Suffolk County, PLLC

  • Emergency Medicine Physician
  • East Patchogue, NY
  • NPI 1669783924

  Emergency Medicine

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2015.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1154367274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SUNRISE HWY",
            "address_2": "STAT HEALTH SAYVILLE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821017",
            "telephone_number": "631-360-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL ROAD",
            "address_2": "MEDICAL CENTER",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-654-7236",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CONRAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "112445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Tor Inc.
• Shannon Miele
• Susan Amy Mikulas, R.N.
• Chloe Jeanne Milani, LCSW
• Military Community Resource Center
• Joan Miller, CASAC
• Nora Susan Milligan, R.N.
• Maxine Mills, RDH
• Doris Minder
• Mindforce Counseling, LCSW, PLLC

• All providers in Patchogue, NY
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.