Active NPI
Robert Miller, M.D.
- Neurology Physician
- San Francisco, CA
National Provider Identifier
1205845153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G21518
- Practice address
- 2324 Sacramento St
Suite 150
San Francisco, CA 94115-2383 - Phone
- (415) 600-3604
- Fax
- (415) 923-6567
- NPI assigned
- Aug 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | G21518 | CA | Primary |
Addresses
Primary practice location
2324 Sacramento St
Suite 150
San Francisco, CA 94115-2383
Mailing address
PO Box 254947
Sacramento, CA 95865-4947
Phone (916) 854-6975
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G215180 | Medicaid | CA | |
| 130026334 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G21518 | CA | MD | Neurology Physician |
| 21518 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter East Bay Medical Foundation | Neurology | Past | Accepting new patients |
Interoperability endpoints
- rmiller50627@hisp.ehr.sutterhealth.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": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291939200000",
"number": "1205845153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 254947",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958654947",
"telephone_number": "916-854-6975",
"fax_number": "916-854-6844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2324 SACRAMENTO ST",
"address_2": "SUITE 150",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152383",
"telephone_number": "415-600-3604",
"fax_number": "415-923-6567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2010-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G21518",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G215180",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130026334",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.