Paul Robert Miller, D.O.
Individual provider Active NPI Emergency Medicine Physician · Nellis Afb, NV
NPI 1548523947 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1548523947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- DR.0056626 (CO)
- Practice address
- 4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600 - Phone
- (702) 653-2344
- NPI assigned
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Rocky Vista University College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lutheran Hospital Association of the San Luis Valley
Practice addresses (Care Compare)
19021 US Hwy 285
La Jara, CO 81140-9410
Phone (719) 274-5121
Hospital & facility affiliations
- San Luis Valley Health Conejos County Hospital
- San Luis Valley Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.41 of 100
- Quality
- 70.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20201228000895 | CO | Practitioner - Emergency Medicine | 6204194459 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Hospital Association of the San Luis Valley | Current | Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Current |
Accepting new patients | |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients | |
| Emcare Physician Providers Inc | Emergency Medicine | Past | Accepting new patients |
| Lutheran Hospital Association of the San Luis Valley | Past | Accepting new patients |
Locations
106 Blanca Ave
Alamosa, CO 81101
Phone (719) 589-2511
310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510
19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121
Interoperability endpoints
- pmille85@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DR.0056626 | CO | Yes |
Addresses
Primary practice location
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone (702) 653-2344
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cch@direct.slvrmc.org | Direct |
Other providers in Nellis Afb, NV
- Charles Kent Miller
- Deana Jane Miller
- Gary Karl Miller
- James Miller
- Joseph Miller
- Michael S Millett
- Jeffery Mitschke
- Anil M Mody
- Robert Moering
- Amel Mohammed
All providers in Nellis Afb, NV · Emergency Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. 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.