Individual provider Active NPI

Wayne Eric Miller, M.D.

  • Internal Medicine Physician
  • Aurora, CO
National Provider Identifier
1215937115
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
45109 Issued in CO
Practice address
2400 S Peoria St
100
Aurora, CO 80014-5476
Phone
(303) 306-4321
Fax
(303) 369-3022
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 45109 CO Primary

Addresses

Primary practice location

2400 S Peoria St
100
Aurora, CO 80014-5476

Mailing address

2400 S Peoria St
100
Aurora, CO 80014-5476
Phone (303) 306-4321

Other identifiers 1

IdentifierTypeStateIssuer
48859524MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45109COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Provident Senior Health, Inc. Internal Medicine Past Accepting new patients
Senior Care of Colorado, PC PastSince Sep 1, 2010 Accepting new patients

Organizations & group practices 2

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1215937115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S PEORIA ST",
            "address_2": "100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145476",
            "telephone_number": "303-306-4321",
            "fax_number": "303-369-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S PEORIA ST",
            "address_2": "100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800145476",
            "telephone_number": "303-306-4321",
            "fax_number": "303-369-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WAYNE",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "45109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48859524",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.