Active NPI
Randall S Miller, MD
- Emergency Medicine Physician
- Henderson, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 9270
- Practice address
- 2370 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5077 - Phone
- (702) 897-3800
- Fax
- (702) 897-3801
- NPI assigned
- May 20, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9270 | NV | Primary |
| Pediatrics Physician | 208000000X | 9270 | NV | |
| Family Medicine Physician | 207Q00000X | 9720 | NV |
Addresses
Primary practice location
2370 W Horizon Ridge Pkwy
Suite 100
Henderson, NV 89052-5077
Mailing address
2838 Bellini Dr
Henderson, NV 89052-3119
Phone (702) 813-4974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9270 | NV | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shadow Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Shadow Emergency Physicians PLLC | Emergency Medicine | Current | Accepting new patients |
| Health and Wellness of NV, LLC | Family Medicine | Current | Accepting new patients |
| Nevada Em-I Silver-Homansky Medical Services Professional Corporation | Emergency Medicine | Past | Accepting new patients |
Locations
2370 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 617-3100
2075 E Flamingo Rd
Las Vegas, NV 89119
Phone (702) 369-7613
657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1184795874
-
- Family Medicine Physician
- Henderson, NV
- NPI 1518310804
-
- Emergency Medicine Physician
- Las Vegas, NV
- NPI 1043030919
-
- Emergency Medicine Physician
- Pahrump, NV
- NPI 1881932721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1184678336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2838 BELLINI DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890523119",
"telephone_number": "702-813-4974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2370 W HORIZON RIDGE PKWY",
"address_2": "SUITE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890525077",
"telephone_number": "702-897-3800",
"fax_number": "702-897-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RANDALL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NV",
"license": "9270",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "9270",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "9720",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.