Individual provider Active NPI

Stuart P Miller, MD

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1174520522
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME0049094 Issued in FL
Practice address
301 Sheridan Rd
Melbourne, FL 32901-3160
Phone
(321) 951-8137
Fax
(321) 951-8138
NPI assigned
Jun 30, 2005
Reactivated
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0049094 FL
Physical Medicine & Rehabilitation Physician 208100000X ME0049094 FL Primary

Addresses

Primary practice location

301 Sheridan Rd
Melbourne, FL 32901-3160

Mailing address

301 Sheridan Rd
Melbourne, FL 32901-3160
Phone (321) 951-8137

Other identifiers 1

IdentifierTypeStateIssuer
010394000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040422000734 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 8224024641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Sheridan Rd
Melbourne, FL 32901-3160
Phone (321) 951-8137

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0049094FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart P Miller, MD, PA Specialist CurrentSince Apr 7, 2004 Accepting new patients

Locations

301 Sheridan Rd
Melbourne, FL 32901
Phone (321) 951-8137

101 E Florida Ave
Melbourne, FL 32901
Phone (321) 233-4028

Interoperability endpoints

  • Direct secure messaging: smiller71546@epicdirect.hf.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1174520522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013160",
            "telephone_number": "321-951-8137",
            "fax_number": "321-951-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013160",
            "telephone_number": "321-951-8137",
            "fax_number": "321-951-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STUART",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0049094",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME0049094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010394000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.