Individual provider Active NPI

Holly Raass Miller, MD

  • Obstetrics & Gynecology Physician
  • Naples, FL
National Provider Identifier
1245271337
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME104443 Issued in FL
Practice address
1660 Medical Blvd
Suite 300
Naples, FL 34110-1413
Phone
(239) 513-0053
Fax
(239) 596-0900
NPI assigned
Jun 9, 2006
Last updated
May 26, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD40957 TN
Obstetrics & Gynecology Physician 207V00000X ME104443 FL Primary

Addresses

Primary practice location

1660 Medical Blvd
Suite 300
Naples, FL 34110-1413

Mailing address

1660 Medical Blvd
Suite 300
Naples, FL 34110-1413
Phone (239) 513-0053

Other identifiers 1

IdentifierTypeStateIssuer
3812875MedicaidTN

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2021 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD40957TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: holly.miller.1@2183.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1245271337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD",
            "address_2": "SUITE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101413",
            "telephone_number": "239-513-0053",
            "fax_number": "239-596-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 MEDICAL BLVD",
            "address_2": "SUITE 300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101413",
            "telephone_number": "239-513-0053",
            "fax_number": "239-596-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HOLLY",
        "middle_name": "RAASS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD40957",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME104443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3812875",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.