Individual provider Active NPI

Darin J Miller, M.D.

  • Surgery Physician
  • York, ME
National Provider Identifier
1265465082
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
018969 Issued in ME
Practice address
16 Hospital Dr
York, ME 03909
Phone
(207) 351-3578
Fax
(207) 351-3579
NPI assigned
Jul 7, 2006
Last updated
Dec 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 018969 ME Primary

Addresses

Primary practice location

16 Hospital Dr
York, ME 03909

Mailing address

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3578

Other identifiers 3

IdentifierTypeStateIssuer
036095826MedicaidIL
020037565OtherRAILROAD MEDICARE
32354500MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 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
I20120119000885 ME Practitioner - General Surgery 7315073962 Reassigns benefits to 1 organization
I20191007002387 NH Practitioner - General Surgery 7315073962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Chicago, Pritzker School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

185 Queen City Ave
Manchester, NH 03101-7121
Phone (603) 663-3630

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue482
Removal of skin lesions52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018969MEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Surgical Service, S.C. Surgery Current Accepting new patients
Elliot Professional Services CurrentSince Sep 30, 2019 Accepting new patients
Mainehealth CurrentSince Sep 28, 2015 Accepting new patients
Mainehealth CurrentSince Sep 28, 2015 Accepting new patients

Locations

5668 E State St
Ste 1000
Rockford, IL 61108
Phone (815) 229-7580

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

185 Queen City Ave
Manchester, NH 03101
Phone (603) 314-6900

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

Hospital & facility affiliations 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1265465082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-3578",
            "fax_number": "207-351-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "03909",
            "telephone_number": "207-351-3578",
            "fax_number": "207-351-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DARIN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "018969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095826",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020037565",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32354500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.