Individual provider Active NPI

Javier Miller, MD

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1487753240
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME0054205 Issued in FL
Practice address
1600 E Marks St
Orlando, FL 32803-4156
Phone
(407) 896-4159
Fax
(407) 896-5949
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2008

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 ME0054205 FL Primary

Addresses

Primary practice location

1600 E Marks St
Orlando, FL 32803-4156

Mailing address

1600 E Marks St
Orlando, FL 32803-4156
Phone (407) 896-4159

Other identifiers 1

IdentifierTypeStateIssuer
037523300MedicaidFL

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0054205FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Autism and ADHD Clinic Past Accepting new patients
Javier Miller, M.D Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: javier.miller@wwmp.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1487753240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034156",
            "telephone_number": "407-896-4159",
            "fax_number": "407-896-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034156",
            "telephone_number": "407-896-4159",
            "fax_number": "407-896-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0054205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037523300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.