Individual provider Active NPI

David Joseph Miner, MD

  • Nephrology Physician
  • Middletown, CT
National Provider Identifier
1225125933
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
026312 Issued in CT
Practice address
535 Saybrook Rd Ste 5
Middletown, CT 06457-4743
Phone
(860) 344-8606
Fax
(860) 344-8963
NPI assigned
Oct 6, 2006
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 026312 CT
Nephrology Physician 207RN0300X 026312 CT Primary

Addresses

Primary practice location

535 Saybrook Rd Ste 5
Middletown, CT 06457-4743

Mailing address

535 Saybrook Rd Ste 5
Middletown, CT 06457-4743
Phone (860) 344-8606

Other identifiers 2

IdentifierTypeStateIssuer
026312OtherCTSTATE LICENSE
4064721MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20070711000811 CT Practitioner - Internal MedicinePractitioner - Nephrology 4587764162 Reassigns benefits to 1 organization
Practice locations: Middletown, CT

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
St. Louis College of Physicians and Surgeons, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midstate Nephrology Associates PCGroup PAC ID 6406955764, 2 clinicians

Practice addresses (Care Compare)

535 Saybrook Rd
Middletown, CT 06457-4743
Phone (860) 344-8606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
026312CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Nephrology Associates PC Nephrology CurrentSince Apr 12, 1989 Accepting new patients
Robbins Medical, P.C. Internal Medicine PastSince Jun 7, 2020 Accepting new patients

Locations

100 Main St
Ste A
Middletown, CT 06457
Phone (860) 346-5600

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

535 Saybrook Rd
Middletown, CT 06457
Phone (860) 344-8606

535 Saybrook Rd
Ste 5
Middletown, CT 06457
Phone (860) 344-8606

85 Church St
Middletown, CT 06457
Phone (860) 344-8606

Interoperability endpoints

  • Direct secure messaging: david.miner@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1225125933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SAYBROOK RD STE 5",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574743",
            "telephone_number": "860-344-8606",
            "fax_number": "860-344-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SAYBROOK RD STE 5",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574743",
            "telephone_number": "860-344-8606",
            "fax_number": "860-344-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "026312",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CT",
            "license": "026312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "026312",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4064721",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.