Neil Miller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

033536 Issued in CT

Practice address

500 Chase Parkway
3Rd FL
Thomaston, CT 06708

Phone

(203) 574-2930

Fax

(203) 574-2933

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Internal Medicine

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prospect CT Medical Foundation IncGroup PAC ID 7416244496, 287 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Hospice Hospice, Danbury, CT, CCN 071518
• Constellation Home Care Hospice, Norwalk, CT, CCN 071542
• Griffin Hospital Hospital, Derby, CT, CCN 070031
• River Glen Health Care Center Nursing home, Southbury, CT, CCN 075241
• Cheshire House Health Care Facility & Rehab Center Nursing home, Waterbury, CT, CCN 075373
• Apple Rehab Watertown Nursing home, Watertown, CT, CCN 075181

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prospect CT Medical Foundation, Inc.

  • Family Medicine Physician
  • Manchester, CT
  • NPI 1144677568

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1003882812
  Medicare reassignment NPD
• Trinity Health of New England Provider Network Organization Inc

  • Internal Medicine Physician
  • Waterville, ME
  • NPI 1134779531
  NPD
• Masonicare Behavioral Health, LLC

  • Geriatric Psychiatry Physician
  • Wallingford, CT
  • NPI 1992781488
  NPD (past)
• Masonicare Primary Care Physicians

  • Geriatric Medicine (Internal Medicine) Physician
  • Wallingford, CT
  • NPI 1922084540
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 162 South Britain Road Operating Company II, LLC

  • Skilled Nursing Facility
  • Southbury, CT
  • NPI 1629076542

  Nursing home

  Care Compare affiliation
• Cheshire House LLC

  • Skilled Nursing Facility
  • Waterbury, CT
  • NPI 1831185883

  Nursing home

  Care Compare affiliation
• Constellation Home Care LLC

  • Community Based Hospice Care Agency
  • Orange, CT
  • NPI 1417239088
  Care Compare affiliation
• Regional Hospice and Home Care of Western Connecticut, Inc.

  • Community Based Hospice Care Agency
  • Danbury, CT
  • NPI 1649228016
  Care Compare affiliation
• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Care Compare affiliation
• Waterbury Extended Care Facility, Inc.

  • Skilled Nursing Facility
  • Watertown, CT
  • NPI 1558430256

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1154370401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHASE PARKWAY",
            "address_2": "3RD FL",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "06787",
            "telephone_number": "203-574-2930",
            "fax_number": "203-574-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHASE PARKWAY",
            "address_2": "3RD FL",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "06708",
            "telephone_number": "203-574-2930",
            "fax_number": "203-574-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NEIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "033536",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "033536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001335365",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmiller41395@direct.stfranciscare.org",
            "affiliation": "N",
            "endpointDescription": "CT Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "166 Waterbury Rd",
            "city": "Prospect",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067121200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George E. Lush, D.M.D.
• Lynn Wellcare Solutions LLC
• Shana A Marques, LCSW
• Andrew James Matusiak
• MGR Wellness Counseling LLC
• Sarah Moodie, LCSW
• John P Moschello, MD
• Northwest Medical Supply, LLC
• Colette Norton, LCSW
• Jamilynn S Novo, RN

• Internal Medicine Physician in Thomaston, CT
• Providers in Thomaston, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.