David Almon Miller, M.D.
Individual provider Active NPI Family Medicine Physician · Saint Louis, MO
NPI 1487793089 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1487793089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 102049 (MO)
- Practice address
- 2220 Lemp Ave
Saint Louis, MO 63104-2700 - Phone
- (314) 898-1700
- Fax
- (314) 814-8542
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Affinia Healthcare
Practice addresses (Care Compare)
2220 Lemp Ave
Saint Louis, MO 63104-2700
Phone (314) 814-8700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080930000636 | MO | Practitioner - Family Practice | 7113094392 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102049 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinia Healthcare | Current |
Accepting new patients | |
| Affinia Healthcare | Current | Accepting new patients | |
| St. Anthony'S Physician Organization | Family Medicine | Past | Accepting new patients |
| Affinia Healthcare | Past | Accepting new patients |
Locations
1717 Biddle St
Saint Louis, MO 63106
Phone (314) 814-8515
2220 Lemp Ave
Saint Louis, MO 63104
Phone (314) 814-8531
Interoperability endpoints
- david.miller.p1@direct.affiniahealthcare.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 102049 | MO | Yes |
Addresses
Primary practice location
2220 Lemp Ave
Saint Louis, MO 63104-2700
Mailing address
1717 Biddle St
Saint Louis, MO 63106-3454
Phone (314) 898-1700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26035 | Other | MO | MISSOURI BNDD NUMBER |
Other providers in Saint Louis, MO
- Clara Simone Miller
- Corey Ann Miller
- Cory Patrick Miller
- Cory Scott Miller
- Daniel Lee Miller
- Deanna Miller
- Debra Lynn Miller
- Deneka Miller
- Derek Blake Miller
- Diane Rankin Miller
All providers in Saint Louis, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.