NPIMap

Individual provider Active NPI

Gary Miller, MD

  • Internal Medicine Physician
  • Canton, CT
National Provider Identifier
1528027430
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
025717 Issued in CT
Practice address
100 N Mountain Rd
Canton, CT 06019-2140
Phone
(860) 558-3662
Fax
(860) 693-0888
NPI assigned
Mar 20, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 025717 CT Primary

Addresses

Primary practice location

100 N Mountain Rd
Canton, CT 06019-2140

Mailing address

100 N Mountain Rd
Canton, CT 06019-2140
Phone (860) 558-3662

Other practice location 1

61 Bradley St
suite 7
Bristol, CT 06010-5103
Phone (860) 314-6898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091118000604 CT Practitioner - Internal MedicinePractitioner - Emergency Medicine 7911951116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 N Mountain Rd
Canton, CT 06019-2140
Phone (860) 558-3662

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46.78 of 100Reported as apm
Quality
33.56
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025717CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Miller MD LLC Internal Medicine CurrentSince Mar 28, 2001 Accepting new patients
New Horizons Inc PastSince Jun 5, 1997 Accepting new patients

Locations

61 Bradley St
Ste 7
Bristol, CT 06010
Phone (860) 314-6898

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cherry Brook Health Care CenterCanton, CT, CCN 075396 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 5, 1997
Jan 27, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • New Horizons Inc

    dba Cherry Brook Health Care Center

    • Skilled Nursing Facility
    • Collinsville, CT
    • NPI 1376593848

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 3

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528027430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MOUNTAIN RD",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192140",
            "telephone_number": "860-558-3662",
            "fax_number": "860-693-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MOUNTAIN RD",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192140",
            "telephone_number": "860-558-3662",
            "fax_number": "860-693-0888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Bradley St",
            "address_2": "suite 7",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060105103",
            "country_code": "US",
            "telephone_number": "860-314-6898",
            "fax_number": "860-314-6896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "025717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, CT

Sources for this page

Verify at the official NPI Registry.