Individual provider Active NPI

Jose Gabriel C Millar, M.D.

  • Pediatrics Physician
  • Round Rock, TX
National Provider Identifier
1386732675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L0424 Issued in TX
Practice address
16010 Park Valley Dr
Ste 300
Round Rock, TX 78681-3574
Phone
(512) 255-7337
Fax
(512) 828-0451
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X L0424 TX Primary

Addresses

Primary practice location

16010 Park Valley Dr
Ste 300
Round Rock, TX 78681-3574

Mailing address

PO Box 1255
Round Rock, TX 78680-1255
Phone (512) 255-7337

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
I20210106000619 TX Practitioner - Pediatric Medicine 0547673865 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0424TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children'S Medical Group Pediatrics CurrentSince Jan 15, 2021 Accepting new patients
Dell Children'S Medical Group CurrentSince Jan 15, 2021 Accepting new patients
Dell Children'S Medical Group Pediatrics Current Accepting new patients
Park Valley Pediatrics, P.L.L.C. Pediatrics Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

16040 Park Valley Dr
Ste 227
Round Rock, TX 78681
Phone (512) 255-7337

16010 Park Valley Dr
Ste 300
Round Rock, TX 78681
Phone (512) 255-7337

Interoperability endpoints

  • Direct secure messaging: jose.gabriel.millar.1@8363.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386732675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1255",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786801255",
            "telephone_number": "512-255-7337",
            "fax_number": "512-828-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16010 PARK VALLEY DR",
            "address_2": "STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813574",
            "telephone_number": "512-255-7337",
            "fax_number": "512-828-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "JOSE GABRIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L0424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.