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
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

Owned or controlled facilities with NPI records 1

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

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

  • Atrinity Home Health Home health agency, Wallingford, CT, CCN 077254
  • Bristol Hospital Home Care Agency Home health agency, Bristol, CT, CCN 077198
  • Bristol Home Care and Hospice Agency, Inc. Hospice, Bristol, CT, CCN 071517
  • Athena Home Health & Hospice Hospice, Farmington, CT, CCN 071543
  • Vitas Healthcare Corporation Atlantic Hospice, Middlebury, CT, CCN 071533
  • Brighton Hospice Connecticut, LLC Hospice, Farmington, CT, CCN 071546
  • McLean Home Care and Hospice Hospice, Simsbury, CT, CCN 071524
  • Bristol Hospital Hospital, Bristol, CT, CCN 070029
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Civita Care Sheriden Woods Nursing home, Bristol, CT, CCN 075350
  • Ingraham Manor Rehab and Nursing Nursing home, Bristol, CT, CCN 075329
  • Cherry Brook Health Care Center Nursing home, Canton, CT, CCN 075396
  • Pines at Bristol for Nursing & Rehabilitation, the Nursing home, Bristol, CT, CCN 075221
  • Apple Rehab Avon Nursing home, Avon, CT, CCN 075388

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

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

All facility ownership & control disclosures 1

Medicare enrollment files

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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

Other identifiers 14

NPPES NPI Registry
IdentifierTypeStateIssuer
110233167OtherRAILROAD MEDICARE
0442003OtherUNITED H C
0V8223OtherHEALTHNET
2469391OtherAETNA
P44182552OtherMULTIPLAN
001257171MedicaidCT
01025717OtherCIGNA
061606960OtherPHCS
010025717CT01OtherBCBS
061606960OtherTRICARE
705992OtherCT CARE
0407238OtherEVERCARE
135723OtherWELLCARE
HAP017OtherOXFORD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2023.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110233167",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED H C",
            "identifier": "0442003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0V8223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2469391",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P44182552",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001257171",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "01025717",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "061606960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "010025717CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "061606960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT CARE",
            "identifier": "705992",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0407238",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "135723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "HAP017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, CT

Sources for this page

Verify at the official NPI Registry.