Individual provider Active NPI

Robert L Miles Jr., M.D.

  • Internal Medicine Physician
  • Charlotte Hall, MD
National Provider Identifier
1306833223
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0045470 Issued in MD
Practice address
37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone
(301) 373-7900
Fax
(301) 373-6900
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0045470 MD Primary

Addresses

Primary practice location

37767 Market Dr
Charlotte Hall, MD 20622-3188

Mailing address

37767 Market Dr
Charlotte Hall, MD 20622-3188
Phone (301) 373-7900

Other identifiers 1

IdentifierTypeStateIssuer
555083100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20091118000681 DC Practitioner - Internal Medicine 8527106152 Reassigns benefits to 1 organization
I20210825000884 MD Practitioner - Internal Medicine 8527106152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10755 Falls Rd
Suite 160
Lutherville, MD 21093-4588
Phone (410) 583-2777

15459 Annapolis Rd
Bowie, MD 20715-1847
Phone (240) 544-0676

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0045470MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group PLLC CurrentSince Nov 24, 2021 Accepting new patients
Patient First Maryland Medical Group, PLLC CurrentSince Nov 24, 2021 Accepting new patients
Patient First Maryland Medical Group PLLC CurrentSince Nov 24, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

15459 Annapolis Rd
Bowie, MD 20715
Phone (240) 544-0607

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

10755 Falls Rd
Ste 160
Timonium, MD 21093
Phone (410) 583-2772

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1306833223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37767 MARKET DR",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223188",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37767 MARKET DR",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223188",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0045470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "555083100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Hall, MD

Sources for this page

Verify at the official NPI Registry.