Individual provider Active NPI

Jeffrey William Miller, M.D.

  • Vascular & Interventional Radiology Physician
  • Stuart, FL
National Provider Identifier
1447311618
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME136475 Issued in FL
Practice address
509 SE Riverside Dr Ste 203
Stuart, FL 34994
Phone
(772) 288-5862
Fax
(772) 288-5874
NPI assigned
Dec 12, 2006
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X ME136475 FL Primary

Addresses

Primary practice location

509 SE Riverside Dr Ste 203
Stuart, FL 34994

Mailing address

PO Box 9033
Stuart, FL 34995-9033
Phone (772) 223-2832

Other practice location 1

509 SE Riverside Dr Ste 203
Stuart, FL 34994
Phone (772) 288-5862

Other identifiers 1

IdentifierTypeStateIssuer
YXWP4OtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181212001553 FL Practitioner - Interventional Radiology 7416957584 Reassigns benefits to 2 organizations
I20200413002370 AL Practitioner - Neurology 7416957584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Memorial Medical Center Inc CurrentSince Oct 14, 2019 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Oct 14, 2019 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Houston County Healthcare Authority Neurological Surgery CurrentSince Mar 2, 2020 Accepting new patients
Indian River Health Services Inc CurrentSince Feb 11, 2021 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Indian River Health Services Inc CurrentSince Feb 11, 2021 Accepting new patients
Coastal Care Corporation Past Accepting new patients
Pitts Radiological Associates, P.a. Diagnostic Radiology Past Accepting new patients

Locations

102 Doctors Dr
Dothan, AL 36301
Phone (334) 793-8804

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

10050 SW Innovation Way
Ste 102
Port St Lucie, FL 34987
Phone (772) 288-5862

10050 SW Innovation Way
Ste 202A
Port St Lucie, FL 34987

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

509 SE Riverside Dr
Stuart, FL 34994
Phone (772) 223-2300

509 SE Riverside Dr
Ste 203
Stuart, FL 34994
Phone (772) 286-1550

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

1000 36th St
Ste 5105
Vero Beach, FL 32960

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

3450 11th Ct
Ste 304
Vero Beach, FL 32960
Phone (772) 770-6801

3725 11th Cir
Vero Beach, FL 32960
Phone (772) 410-0155

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jmiller2365951@direct.ccf.org

Organizations & group practices 10

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 1

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1447311618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9033",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349959033",
            "telephone_number": "772-223-2832",
            "fax_number": "772-288-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR STE 203",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-288-5862",
            "fax_number": "772-288-5874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 SE Riverside Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "34994",
            "country_code": "US",
            "telephone_number": "772-288-5862",
            "fax_number": "772-288-5874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME136475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "YXWP4",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.