Individual provider Active NPI

Billy Miller, M.D.

  • Emergency Medicine Physician
  • Houston, TX
National Provider Identifier
1376560995
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L5467 Issued in TX
Practice address
1925 E TC Jester Blvd
Houston, TX 77008-1551
Phone
(713) 927-3020
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L5467 TX Primary

Addresses

Primary practice location

1925 E TC Jester Blvd
Houston, TX 77008-1551

Mailing address

2402 Addison Rd
Houston, TX 77030-1810
Phone (713) 927-3020

Other identifiers 4

IdentifierTypeStateIssuer
166100101MedicaidTX
166100104MedicaidTX
166100102MedicaidTX
166100103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040714001535 TX Practitioner - Emergency Medicine 8426037391 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5467TXMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jun 18, 2007 Accepting new patients
Round Table Physicians Group PLLC CurrentSince Mar 1, 2020 Accepting new patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
Memorial Southwest Emergency Physicians, LLP Emergency Medicine PastSince Nov 10, 2005 Accepting new patients
Memorial Northwest Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Woodlands Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Memorial City Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1376560995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 ADDISON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301810",
            "telephone_number": "713-927-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 E TC JESTER BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081551",
            "telephone_number": "713-927-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BILLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L5467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166100101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166100104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166100102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166100103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.