Active NPI
Phillip Miller, DO
- Family Medicine Physician
- Lone Tree, CO
National Provider Identifier
1366930521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 93458
- Practice address
- 10099 Ridgegate Pkwy Ste 200
Lone Tree, CO 80124-5532 - Phone
- (720) 874-2411
- NPI assigned
- Apr 24, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 93458 | GA | Primary |
Addresses
Primary practice location
10099 Ridgegate Pkwy Ste 200
Lone Tree, CO 80124-5532
Mailing address
2050 Tallokas Rd
Moultrie, GA 31768-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
102 Woodmont Blvd
Suite 600
Nashville, TN 37205-2248
102 Woodmont Blvd
Suite 600
Nashville, TN 37205-5250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93458 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Colorado PC | Family Medicine | Current | Accepting new patients |
| Archwell Health Professional Services of Colorado PC | Family Medicine | Past | Accepting new patients |
Locations
5017 W 64th Ave
Arvada, CO 80003
Phone (303) 970-2334
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Arvada, CO
- NPI 1487485876
Family Medicine
-
- Family Medicine Physician
- Lakewood, CO
- NPI 1386519700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1366930521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 TALLOKAS RD",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317687666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10099 RIDGEGATE PKWY STE 200",
"city": "LONE TREE",
"state": "CO",
"postal_code": "801245532",
"telephone_number": "720-874-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PHILLIP",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-24",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "93458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lone Tree, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.