Active NPI
Jeffrey D. Miller, MD, P.C.
- Family Medicine Physician
- Albuquerque, NM
National Provider Identifier
1447530142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- FA0099744
- Legal business name
- JEFFREY D. MILLER, MD, P.C.
- Practice address
- 6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369 - Phone
- (505) 292-1818
- Fax
- (505) 293-2952
- NPI assigned
- Aug 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey David Miller, M.D.
- Title
- Sole Owner
- Phone
- (505) 220-2981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FA0099744 | NM | Primary |
Addresses
Primary practice location
6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369
Mailing address
6727 Academy Rd NE Ste C
Albuquerque, NM 87109-3369
Phone (505) 292-1818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111024000130 | NM | Part B Supplier - Clinic/Group Practice | 5193998920 | Practice locations: Albuquerque, NM |
National Provider Directory
National Provider DirectoryLocations
6727 Academy Rd NE
Ste C
Albuquerque, NM 87109
Phone (505) 292-1818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1542067200000",
"number": "1447530142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6727 ACADEMY RD NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093369",
"telephone_number": "505-292-1818",
"fax_number": "505-293-2952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6727 ACADEMY RD NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093369",
"telephone_number": "505-292-1818",
"fax_number": "505-293-2952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY D. MILLER, MD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-25",
"last_updated": "2018-11-13",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "505-220-2981",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NM",
"license": "FA0099744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.