Individual provider Active NPI

Richard Miller, MD

  • Trauma Surgery Physician
  • Mansfield, TX
National Provider Identifier
1558445668
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
S6251 Issued in TX
Practice address
2800 E Broad St Ste 421
Mansfield, TX 76063-6415
Phone
(469) 695-2028
Fax
(469) 695-2029
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X MD20581 TN
Trauma Surgery Physician 2086S0127X S6251 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 421
Mansfield, TX 76063-6415

Mailing address

2800 E Broad St Ste 421
Mansfield, TX 76063-6415
Phone (469) 695-2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200514002273 TX Practitioner - General Surgery 4385668631 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2975 E Broad St
Suite 200
Mansfield, TX 76063-9186
Phone (682) 518-8619

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15934SCMDSocial Worker
MD20581TNMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 12, 2024 Accepting new patients
Medhealth Trauma Surgery CurrentSince Aug 12, 2024 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Feb 8, 2020 Accepting new patients
Greenville Health System Past Accepting new patients

Locations

1441 N Beckley Ave
Ste 438
Dallas, TX 75203

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

2975 E Broad St
Ste 200
Mansfield, TX 76063
Phone (682) 518-8619

2800 E Broad St
Ste 421
Mansfield, TX 76063
Phone (469) 695-2028

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1558445668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 421",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636415",
            "telephone_number": "469-695-2028",
            "fax_number": "469-695-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 421",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636415",
            "telephone_number": "469-695-2028",
            "fax_number": "469-695-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TN",
            "license": "MD20581",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "S6251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.