Individual provider Active NPI

Kevin Price Miller, D.O.

  • Dermatology Physician
  • Staunton, VA
National Provider Identifier
1275827180
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0102205304 Issued in VA
Practice address
1600 N Coalter St Ste 19
Staunton, VA 24401
Phone
(540) 885-4500
NPI assigned
Jun 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0102205304 VA Primary

Addresses

Primary practice location

1600 N Coalter St Ste 19
Staunton, VA 24401

Mailing address

1600 N Coalter St Ste 19
Staunton, VA 24401-2566
Phone (540) 885-4500

Other practice location 1

1600 N Coalter St Ste 19
Staunton, VA 24401
Phone (540) 885-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20181016000961 VA Practitioner - Dermatology 7618277518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Dermatology, P.C..Group PAC ID 9739499344, 11 clinicians

Practice addresses (Care Compare)

1600 N Coalter St
Suite 19
Staunton, VA 24401-2566
Phone (540) 885-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
80.99
Improvement activities
40
Cost
74.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64
Removal of tissue1-10
Removal of skin lesions3025
Removal or shaving of skin growth754
Skin biopsy112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Dermatology, P.C. CurrentSince Sep 4, 2018 Accepting new patients

Locations

16 Ivy Ridge Ln
Ste 138
Fishersville, VA 22939
Phone (540) 569-2942

45 Commerce Park Dr
Raphine, VA 24472
Phone (540) 885-4500

1600 N Coalter St
Ste 19
Staunton, VA 24401
Phone (540) 885-4500

400 S Magnolia Ave
Unit B
Waynesboro, VA 22980

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 and National Provider Directory roles.

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": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1275827180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N COALTER ST STE 19",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012566",
            "telephone_number": "540-885-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N COALTER ST STE 19",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "24401",
            "telephone_number": "540-885-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 N Coalter St Ste 19",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "24401",
            "country_code": "US",
            "telephone_number": "540-885-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "PRICE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102205304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.