Active NPI
Robert M Miller, MD
- Gastroenterology Physician
- Bentonville, AR
National Provider Identifier
1386737799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R4322
- Practice address
- 2900 Medical Center Pkwy Ste 240
Bentonville, AR 72712-3213 - Phone
- (479) 273-9173
- Fax
- (479) 464-9989
- NPI assigned
- Sep 30, 2006
- Last updated
- Mar 3, 2010
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | R4322 | AR | Primary |
Addresses
Primary practice location
2900 Medical Center Pkwy Ste 240
Bentonville, AR 72712-3213
Mailing address
2608 Carrington Pointe Rd
Fort Smith, AR 72903-5261
Phone (479) 484-0858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4322 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Gastrointestinal Associates PA | Gastroenterology | Past | Accepting new patients |
| Advanced Aesthetics & Wellness Center PA, Earlmd Family Medicine PA | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1811135809
-
- Gastroenterology Physician
- Mesquite, TX
- NPI 1114944840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1386737799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 CARRINGTON POINTE RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035261",
"telephone_number": "479-484-0858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MEDICAL CENTER PKWY STE 240",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123213",
"telephone_number": "479-273-9173",
"fax_number": "479-464-9989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "R4322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.