Individual provider Active NPI

Theodore T. Miller, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1487750113
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
175132 Issued in NY
Practice address
535 E 70TH St
Department of Radiology
New York, NY 10021-4872
Phone
(212) 606-1233
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 175132 NY Primary

Addresses

Primary practice location

535 E 70TH St
Department of Radiology
New York, NY 10021-4872

Mailing address

535 E 70TH St
Department of Radiology
New York, NY 10021-4872
Phone (212) 606-1233

Other identifiers 2

IdentifierTypeStateIssuer
01422935MedicaidNY
00637403MedicaidNY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tmiller9531@direct.HSS.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070509000278 NY Practitioner - Diagnostic Radiology 5597782268 Reassigns benefits to 2 organizations
I20160602001846 NJ Practitioner - Diagnostic Radiology 5597782268 Reassigns benefits to 1 organization
I20160920002115 CT Practitioner - Diagnostic Radiology 5597782268 Reassigns benefits to 2 organizations
I20200206001671 FL Practitioner - Diagnostic Radiology 5597782268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Vanderbilt University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Blachley Rd
Stamford, CT 06902-0002
Phone (203) 705-2400

1133 Westchester Ave
White Plains, NY 10604-3516
Phone (212) 606-1000

140 E Ridgewood Ave
Suite 175S
Paramus, NJ 07652-3917
Phone (201) 599-8000

15 E Midland Ave
Paramus, NJ 07652-2938
Phone (212) 606-1015

535 E 70TH St
New York, NY 10021-4823
Phone (212) 606-1015

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
HSS-Florida Physicians LLC CurrentSince Jan 6, 2020 Accepting new patients
New York Society for the Relief of Ruptured and Crippled Maintaining T Past Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients

Locations

1 Blachley Rd
Stamford, CT 06902
Phone (203) 705-0750

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

140 E Ridgewood Ave
Ste 175S
Paramus, NJ 07652
Phone (201) 599-8000

140 E Ridgewood Ave
Paramus, NJ 07652
Phone (212) 606-1844

168 39th St
Brooklyn, NY 11232
Phone (212) 774-2474

17660 Union Tpke
Fresh Meadows, NY 11366
Phone (212) 774-2474

17660 Union Tpke
Ste 190
Fresh Meadows, NY 11366
Phone (718) 591-5693

535 E 70th St
#2C
New York, NY 10021
Phone (212) 606-1224

535 E 70th St
New York, NY 10021

610 W 58th St
New York, NY 10019
Phone (212) 774-2474

333 Earle Ovington Blvd
Ste 106
Uniondale, NY 11553
Phone (212) 606-1136

333 Earle Ovington Blvd
Uniondale, NY 11553
Phone (516) 222-8881

1133 Westchester Ave
White Plains, NY 10604
Phone (914) 358-9700

Interoperability endpoints

  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
  • FHIR API: https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: tmiller9531@direct.hss.edu

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1487750113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214872",
            "telephone_number": "212-606-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E 70TH ST",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214872",
            "telephone_number": "212-606-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THEODORE",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "175132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01422935",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00637403",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmiller9531@direct.HSS.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "address_2": "Department of Radiology",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "address_2": "Department of Radiology",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.