Active NPI
Robert H Miller III, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Collierville, TN
National Provider Identifier
1265429765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 13789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111994001 | Medicaid | AR | |
| 3019124 | Medicaid | TN | |
| 00015617 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101028000759 | TN | Practitioner - Orthopedic Surgery | 7113111691 | Reassigns benefits to 1 organization |
| I20101105000580 | MS | Practitioner - Orthopedic Surgery | 7113111691 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- 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, PLLC
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 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13789 | TN | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Orthopaedics & Sports Medicine, PLLC | Sports Medicine | Current | 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
- rmiller@cco1043.srs-direct.com
- 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.
-
- Orthopaedic Surgery Physician
- West Memphis, AR
- NPI 1043565773
Sports Medicine, TN
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.