NPIMap

Individual provider Active NPI

Paul Daniel Miller, D.O.

  • Family Medicine Physician
  • Oakland, MD
National Provider Identifier
1194727487
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0026154 Issued in MD
Practice address
69 Wolf Acres Dr
Oakland, MD 21550-2022
Phone
(301) 334-4400
Fax
(301) 334-8228
NPI assigned
Jun 1, 2005
Reactivated
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0026154 MD Primary

Addresses

Primary practice location

69 Wolf Acres Dr
Oakland, MD 21550-2022

Mailing address

69 Wolf Acres Dr
Oakland, MD 21550-2022
Phone (301) 334-4400

Other identifiers 10

IdentifierTypeStateIssuer
0714801 00MedicaidMD
7969740OtherAETNA
257024OtherMAMSI
522071438OtherGREAT WEST
522071438OtherWELLS FARGO
522071438OtherCIGNA
063731961OtherMARYLAND PHYSICANS CARE
522071438OtherUNITED HEALTHCARE
6213PDOtherBLUECROSS/BLUESHIELD
522071438OtherONE NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000492 MD Practitioner - Family Practice 1759364508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Garrett County, LLCGroup PAC ID 5698082436, 86 clinicians

Practice addresses (Care Compare)

32 Corporate Dr
Grantsville, MD 21536-1259
Phone (301) 895-8750

Hospital & facility affiliations

  • Hospice of Garrett County Hospice, Oakland, MD, CCN 211535
  • Garrett Regional Medical Center Hospital, Oakland, MD, CCN 210017
  • Dennett Rehab Center Nursing home, Oakland, MD, CCN 215216
  • Oakland Nursing & Rehabilitation Center Nursing home, Oakland, MD, CCN 215232

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0026154MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Garrett County, LLC CurrentSince Nov 1, 2020 Accepting new patients
Professional Emergency Physician Services, LLC CurrentSince Jan 1, 2004 Accepting new patients
Specialty Physicians of Garrett County, LLC CurrentSince Nov 1, 2020 Accepting new patients
Specialty Physicians of Garrett County, LLC Current Accepting new patients
DRM Healthcare Operations LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dennett SNF Past Accepting new patients
Oakland Health Care LLC Past Accepting new patients

Locations

32 Corporate Dr
Grantsville, MD 21536
Phone (301) 895-3922

69 Wolf Acres Dr
Oakland, MD 21550
Phone (301) 334-4400

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dennett Rehab CenterOakland, MD, CCN 215216 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF		 Oct 1, 2024
Oct 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Dennett SNF
    • Skilled Nursing Facility
    • Oakland, MD
    • NPI 1093551723

    Adp of the SNF, Managing Control - Governing Body

    CMS ownership

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1194727487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 WOLF ACRES DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215502022",
            "telephone_number": "301-334-4400",
            "fax_number": "301-334-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 WOLF ACRES DR",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215502022",
            "telephone_number": "301-334-4400",
            "fax_number": "301-334-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PAUL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-04-15",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0026154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714801 00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7969740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "257024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "522071438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLS FARGO",
            "identifier": "522071438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "522071438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND PHYSICANS CARE",
            "identifier": "063731961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "522071438",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "6213PD",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE NET",
            "identifier": "522071438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.