Individual provider Active NPI

Michael Paul Miller, M.D.

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1629126008
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G83261 Issued in CA
Practice address
800 Fairmount Ave
Suite 101
Pasadena, CA 91105-3150
Phone
(626) 585-8700
Fax
(626) 585-8705
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G83261 CA Primary

Addresses

Primary practice location

800 Fairmount Ave
Suite 101
Pasadena, CA 91105-3150

Mailing address

1778 Morada PL
Altadena, CA 91001-3325
Phone (626) 398-1498

Other identifiers 2

IdentifierTypeStateIssuer
180030799OtherCARAILROAD MEDICARE
00G832610MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091029000442 CA Practitioner - Ophthalmology 8022155738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Fairmount Ave
Suite 101
Pasadena, CA 91105-3151
Phone (626) 585-8700

Merit-based Incentive Payment System (MIPS)

Final score
90.48 of 100Reported as individual
Quality
80.95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83261CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Paul Miller, MD, Inc. Ophthalmology CurrentSince Oct 1, 2009 Accepting new patients
Pasadena Hospital Association, LTD. PastSince Oct 1, 2009 Accepting new patients

Locations

800 Fairmount Ave
Ste 101
Pasadena, CA 91105
Phone (626) 304-2626

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1629126008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 MORADA PL",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910013325",
            "telephone_number": "626-398-1498",
            "fax_number": "626-585-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-585-8700",
            "fax_number": "626-585-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G83261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180030799",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G832610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.