Individual provider Active NPI

Dinah Miller, M.D.

  • Psychiatry Physician
  • Baltimore, MD
National Provider Identifier
1255470720
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D39284 Issued in MD
Practice address
711 W 40TH St
The Rotunda Suite 322
Baltimore, MD 21211-2120
Phone
(410) 852-8404
Fax
(410) 664-4632
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D39284 MD Primary

Addresses

Primary practice location

711 W 40TH St
The Rotunda Suite 322
Baltimore, MD 21211-2120

Mailing address

711 W 40TH St
The Rotunda Suite 322
Baltimore, MD 21211-2120
Phone (410) 852-8404

Other identifiers 1

IdentifierTypeStateIssuer
205051000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20091209000543 MD Practitioner - Psychiatry 2264571926 Reassigns benefits to 1 organization
Practice locations: Baltimore, MD

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
JS Weill Medical College, Cornell University, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 Sulgrave Ave
Suite 202
Baltimore, MD 21209-3650
Phone (410) 852-8404

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Psychiatry CurrentSince Oct 27, 2009 Accepting new patients
Johns Hopkins University CurrentSince Oct 27, 2009 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

10755 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Organizations & group practices 3

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1255470720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST",
            "address_2": "THE ROTUNDA SUITE 322",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112120",
            "telephone_number": "410-852-8404",
            "fax_number": "410-664-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 40TH ST",
            "address_2": "THE ROTUNDA SUITE 322",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212112120",
            "telephone_number": "410-852-8404",
            "fax_number": "410-664-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DINAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D39284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205051000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.