Active NPI
Robert Newell Miller IV, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Edgerton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 54201-020
- Practice address
- 11101 N Sherman Rd
Edgerton, WI 53534-9002 - Phone
- (608) 884-1600
- NPI assigned
- Jul 5, 2006
- Last updated
- Apr 10, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 54201-020 | WI | Primary |
Addresses
Primary practice location
11101 N Sherman Rd
Edgerton, WI 53534-9002
Mailing address
11101 N Sherman Rd
Edgerton, WI 53534-9002
Phone (608) 884-1600
Other practice location 1
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone (314) 652-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 69.34 of 100
- Quality
- 87.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54201-020 | WI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgerton Hospital and Health Services Inc. | Current | Accepting new patients | |
| Edgerton Hospital and Health Services, Inc | Current | Accepting new patients | |
| Holy Family Medical Center | Past | Accepting new patients |
Locations
11101 N Sherman Rd
Edgerton, WI 53534
Phone (608) 884-1695
831 Arthur Dr
Milton, WI 53563
Phone (608) 868-3526
Interoperability endpoints
- rmiller261909@direct-ehr-ssmhc.com
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.
-
- Critical Access Hospital
- Edgerton, WI
- NPI 1154350049
-
- Urgent Care Clinic/Center
- Whitewater, WI
- NPI 1982496295
-
dba Holy Family Anesthesia Group
- Anesthesiology Physician
- Des Plaines, IL
- NPI 1356556468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1528099876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11101 N SHERMAN RD",
"city": "EDGERTON",
"state": "WI",
"postal_code": "535349002",
"telephone_number": "608-884-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11101 N SHERMAN RD",
"city": "EDGERTON",
"state": "WI",
"postal_code": "535349002",
"telephone_number": "608-884-1600"
}
],
"practiceLocations": [
{
"address_1": "915 N Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631061621",
"country_code": "US",
"telephone_number": "314-652-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"middle_name": "NEWELL",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WI",
"license": "54201-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgerton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.