Individual provider Active NPI

Peter L Miller, MD

  • Nephrology Physician
  • Austin, TX
National Provider Identifier
1619911880
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J8061 Issued in TX
Practice address
321 W Ben White
Ste 205
Austin, TX 78704-7087
Phone
(512) 451-5800
Fax
(512) 459-1399
NPI assigned
Jun 16, 2006
Last updated
Sep 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X J8061 TX Primary

Addresses

Primary practice location

321 W Ben White
Ste 205
Austin, TX 78704-7087

Mailing address

408 W 45TH St
Austin, TX 78751-3014
Phone (512) 451-5800

Other identifiers 1

IdentifierTypeStateIssuer
132352910MedicaidTX

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
I20100803000245 TX Practitioner - NephrologyPractitioner - Internal Medicine 7113823022 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Kidney Associates PA Nephrology CurrentSince Jun 1, 2013 Accepting new patients
Austin Kidney Associates, P. a. CurrentSince Mar 1, 2013 Accepting new patients
Austin Nephrology Associates, PA Nephrology PastSince Sep 9, 2011 Accepting new patients

Locations

3000 Ih 35 N
Ste 635
Austin, TX 78681

321 W Ben White Blvd
Ste 205
Austin, TX 78704
Phone (512) 451-5800

408 W 45th St
Austin, TX 78751
Phone (512) 451-5800

8620 Burnet Rd
Ste 40
Austin, TX 78757
Phone (512) 334-1810

16010 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 275-0100

Interoperability endpoints

  • Direct secure messaging: peter.miller.p80@direct.aac.nextgenshare.com
  • Direct secure messaging: peter.miller.p96@direct.aac.nextgenshare.com
  • Direct secure messaging: pmiller39631@direct.davitaphysiciansolutions.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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1619911880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 45TH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787513014",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W BEN WHITE",
            "address_2": "STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047087",
            "telephone_number": "512-451-5800",
            "fax_number": "512-459-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PETER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J8061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132352910",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.