Individual provider Active NPI

Randall S Miller, MD

  • Emergency Medicine Physician
  • Henderson, NV
National Provider Identifier
1184678336
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9270 Issued in NV
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

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000540 NV Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 9133257793 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9270NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 1, 2011 Accepting new patients
Shadow Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 1, 2011 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.

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

Verify at the official NPI Registry.