Active NPI
Douglas James Miller, MD
- Internal Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME20369
- Practice address
- 4646 John R
John D. Dingell VA Medical Center
Detroit, MI 48201 - Phone
- (313) 576-1000
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME20369 | FL | Primary |
Addresses
Primary practice location
4646 John R
John D. Dingell VA Medical Center
Detroit, MI 48201
Mailing address
6601 College Blvd Ste 120
Overland Park, KS 66211-1504
Phone (913) 359-6001
Other practice location 1
32401 8 Mile Rd
Livonia, MI 48152-1301
Phone (913) 359-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Miami, LM Miller School of Medicine, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
32401 8 Mile Rd
Suite L6
Livonia, MI 48152-1301
Phone (913) 359-6021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME20369 | FL | MD | Internal Medicine Physician |
| ME | FL | MD | Ophthalmology Physician |
| 20369 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patheous Medical PLLC | Current | Accepting new patients |
Locations
10551 Barkley St
Ste 400
Overland Park, KS 66212
6601 College Blvd
Ste 120
Overland Park, KS 66211
Phone (913) 359-6001
32401 8 Mile Rd
Livonia, MI 48152
Phone (734) 576-1365
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1265526834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 COLLEGE BLVD STE 120",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111504",
"telephone_number": "913-359-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 JOHN R",
"address_2": "JOHN D. DINGELL VA MEDICAL CENTER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-576-1000"
}
],
"practiceLocations": [
{
"address_1": "32401 8 Mile Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481521301",
"country_code": "US",
"telephone_number": "913-359-6001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "DOUGLAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-11-09",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME20369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.