Individual provider Active NPI

Barry Ray Miller, M.A.

  • Surgery Physician
  • Port Arthur, TX
National Provider Identifier
1386643963
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
H5674 Issued in TX
Practice address
3820 Highway 365
Suite 200
Port Arthur, TX 77642-7543
Phone
(409) 721-5150
Fax
(409) 721-6102
NPI assigned
Jul 18, 2005
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X H5674 TX Primary

Addresses

Primary practice location

3820 Highway 365
Suite 200
Port Arthur, TX 77642-7543

Mailing address

3820 Highway 365
Suite 200
Port Arthur, TX 77642-7543
Phone (409) 721-5150

Other identifiers 1

IdentifierTypeStateIssuer
1141806-01MedicaidTX

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
I20120827000740 TX Practitioner - General Surgery 7113186602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3820 Hwy 365
Suite 200
Port Arthur, TX 77642-7565
Phone (409) 721-5150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)13
Mastectomy1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H5674TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waheeda Mithani, MD, PLLC PastSince Aug 28, 2016 Accepting new patients
Christus Health Southeast Texas PastSince Jan 1, 2015 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJEBDA/Endpoint/HJEBDA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1386643963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 HIGHWAY 365",
            "address_2": "SUITE 200",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427543",
            "telephone_number": "409-721-5150",
            "fax_number": "409-721-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 HIGHWAY 365",
            "address_2": "SUITE 200",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427543",
            "telephone_number": "409-721-5150",
            "fax_number": "409-721-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "BARRY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "H5674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141806-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.