Individual provider Active NPI

Robert H Miller III, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Collierville, TN
National Provider Identifier
1265429765
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
13789 Issued in TN
Practice address
511 Market Blvd Ste 103
Collierville, TN 38017-2360
Phone
(901) 850-1150
Fax
(901) 850-1102
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 13789 TN Primary

Addresses

Primary practice location

511 Market Blvd Ste 103
Collierville, TN 38017-2360

Mailing address

511 Market Blvd Ste 103
Collierville, TN 38017-2360
Phone (901) 850-1150

Other identifiers 3

IdentifierTypeStateIssuer
111994001MedicaidAR
3019124MedicaidTN
00015617MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101028000759 TN Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7113111691 Reassigns benefits to 1 organization
I20101105000580 MS Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 7113111691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Vanderbilt University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Orthopaedics and Sports Medicine, PLLCGroup PAC ID 4486810314, 3 clinicians

Practice addresses (Care Compare)

511 Market Blvd
Suite 103
Collierville, TN 38017-2360
Phone (901) 850-1150

Merit-based Incentive Payment System (MIPS)

Final score
75.09 of 100Reported as group
Quality
50.47
Promoting interoperability
99
Improvement activities
40
Cost
67.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13789TNMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Orthopaedics & Sports Medicine, PLLC Sports Medicine CurrentSince Dec 1, 2024 Accepting new patients
CC Bpci PLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

511 Market Blvd
Ste 103
Collierville, TN 38017
Phone (901) 850-1150

Interoperability endpoints

  • Direct secure messaging: rmiller@cco1043.srs-direct.com
  • Direct secure messaging: robert.miller.1@18248.direct.athenahealth.com

Organizations & group practices 4

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1265429765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MARKET BLVD STE 103",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172360",
            "telephone_number": "901-850-1150",
            "fax_number": "901-850-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MARKET BLVD STE 103",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172360",
            "telephone_number": "901-850-1150",
            "fax_number": "901-850-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "13789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111994001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019124",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015617",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.