Marc L Miller, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

59883 Issued in AZ

Practice address

3801 Santa Rosa Dr Ste 301
Kingman, AZ 86401-2311

Phone

(928) 681-8730

Fax

(928) 681-8731

NPI assigned

Aug 26, 2005

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Merit-based Incentive Payment System (MIPS)

Final score

97.93 of 100Reported as apm

Quality

83.31

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kingman Healthcare, Inc

  dba Kingman Regional Medical Center

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917

  Family Medicine

  Medicare reassignment NPD
• Kingman Healthcare, Inc

  • Specialist
  • Kingman, AZ
  • NPI 1689897787
  NPD
• Kingman Healthcare, Inc

  dba KRMC Community Pharmacy

  • Community/Retail Pharmacy
  • Kingman, AZ
  • NPI 1992286298
  NPD
• Mainegeneral Health Associates

  dba Rheumatology

  • Rheumatology Physician
  • Gardiner, ME
  • NPI 1659337905
  NPD (past)
• Midcoast Hospital

  • Internal Medicine Physician
  • Bath, ME
  • NPI 1083636039
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1598758351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SEWALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022643",
            "telephone_number": "207-774-5761",
            "fax_number": "207-874-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SANTA ROSA DR STE 301",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864012311",
            "telephone_number": "928-681-8730",
            "fax_number": "928-681-8731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Sewall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041022643",
            "country_code": "US",
            "telephone_number": "207-774-5761",
            "fax_number": "207-874-7478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Centre St",
            "address_purpose": "LOCATION",
            "city": "Bath",
            "state": "ME",
            "postal_code": "045302550",
            "country_code": "US",
            "telephone_number": "207-406-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARC",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ME",
            "license": "MD11083",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "AZ",
            "license": "59883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "59883",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307490099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conchita O Mercado, DDS
• Michael G Valpiani MD Az LTD (A Better Life Pain Treatment Center)
• Michael Stagner,M.D. P.C
• Evan James Michelson
• Jack Glenn Miller, CTN
• Mindful Solutions Behavioral Health Services
• Mobility Prosthetic and Orthotic Services LLC
• Mohave Dental Associates PC
• Mohave Desert Orthopaedic Center LLC
• Mohave Eye Center, LTD

• Rheumatology Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Rheumatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.

Verify at the official NPI Registry.