NPIMap

Individual provider Active NPI

Julia A Miller, M.D.

  • Pulmonary Disease Physician
  • Johnson City, NY
National Provider Identifier
1619962883
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
1899001 Issued in NY
Practice address
52 Harrison St
Johnson City, NY 13790-2120
Phone
(607) 729-8845
Fax
(607) 729-5574
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 1899001 NY Primary

Addresses

Primary practice location

52 Harrison St
Johnson City, NY 13790-2120

Mailing address

52 Harrison St
Johnson City, NY 13790-2120
Phone (607) 729-8845

Other identifiers 1

IdentifierTypeStateIssuer
01458837MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061221000052 NY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0244239226 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1899001NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Tier Pulmonary & Critical Care Medicine LLC Pulmonary Disease CurrentSince Oct 1, 2006 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients
United Health Services Hospitals, Inc. Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

52 Harrison St
Johnson City, NY 13790
Phone (607) 729-8845

52 Harrison St
#1
Johnson City, NY 13790
Phone (607) 729-8845

Interoperability endpoints

  • Direct secure messaging: jmiller@stpulmonary.medentdirect.com
  • FHIR API: https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wilson Hospital and Binghamton General HospitalJohnson City, NY, CCN 330394 Hospital Corporate Director May 31, 2015
United Health Services Hospitals, Inc.Binghamton, NY, CCN 33S394 Hospital Corporate Director May 30, 2015
United Health Services Hospitals, Inc.Binghamton, NY, CCN 33T394 Hospital Corporate Director
Operational/Managerial Control		 May 30, 2015
May 30, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Jefferson Medical College of Thomas Jefferson University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Tier Pulmonary and Critical Care Medicine LLC 4 clinicians

Practice addresses (Care Compare)

52 Harrison St
Johnson City, NY 13790-2120
Phone (607) 729-8845

Hospital & facility affiliations

  • United Health Services Hospitals, Inc Hospital, Binghamton, NY, CCN 330394
  • Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
  • Chenango Memorial Hospital Hospital, Norwich, NY, CCN 330033
  • Delaware Valley Hospital, Inc Hospital, Walton, NY, CCN 331312

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1619962883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902120",
            "telephone_number": "607-729-8845",
            "fax_number": "607-729-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902120",
            "telephone_number": "607-729-8845",
            "fax_number": "607-729-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JULIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "1899001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01458837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.