Individual provider Active NPI

Raymond E Miller, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Dover, DE
National Provider Identifier
1205802188
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
C10004525 Issued in DE
Practice address
540 S Governors Ave Ste 201
Dover, DE 19904-3530
Phone
(302) 672-4600
Fax
(302) 672-4606
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C10004525 DE
Clinical Cardiac Electrophysiology Physician 207RC0001X C10004525 DE Primary

Addresses

Primary practice location

540 S Governors Ave Ste 201
Dover, DE 19904-3530

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688

Other identifiers 1

IdentifierTypeStateIssuer
1205802188MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100525000657 DE Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446318976 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Maryland School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Bayhealth Hospital Sussex Campus
Milford, DE 19963-4364
Phone (302) 430-5738

540 S Governors Ave
201 Bayhealth Phys Cardiology Dover
Dover, DE 19904-3530
Phone (302) 672-4600

640 S State St
Kent Campus
Dover, DE 19901-3530
Phone (302) 744-7000

Hospital & facility affiliations

  • Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10004525DEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Christiana Care Health Services, Inc Cardiovascular Disease CurrentSince Apr 1, 2000 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 1, 2000 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 15, 2013 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Mar 15, 2013 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Locations

560 S Governors Ave
Dover, DE 19904
Phone (302) 744-7095

655 S Bay Rd
Ste 3C
Dover, DE 19901
Phone (302) 573-0770

540 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 672-4600

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

802 N DuPont Blvd
Milford, DE 19963
Phone (302) 422-6050

18383 Hudson Rd
Fl 2
Milton, DE 19968
Phone (302) 725-3499

18383 Hudson Rd
Milton, DE 19968
Phone (302) 725-3499

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

252 Chapman Rd
Ste 150
Newark, DE 19702
Phone (302) 366-7665

3521 Silverside Rd
Ste 1C
Wilmington, DE 19810
Phone (302) 368-3007

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

1011 W Baltimore Pike
Ste 304
West Grove, PA 19390
Phone (610) 869-1278

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 9

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 5

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1205802188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S GOVERNORS AVE STE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043530",
            "telephone_number": "302-672-4600",
            "fax_number": "302-672-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RAYMOND",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10004525",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "DE",
            "license": "C10004525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205802188",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.