Individual provider Active NPI

Mark William Miller, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Olney, MD
National Provider Identifier
1659306439
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
D57581 Issued in MD
Practice address
18101 Prince Philip Dr
Olney, MD 20832-1514
Phone
(301) 774-8882
NPI assigned
Jul 11, 2006
Last updated
May 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X D57581 MD Primary

Addresses

Primary practice location

18101 Prince Philip Dr
Olney, MD 20832-1514

Mailing address

3922 Clarks Meadow Dr
Glenwood, MD 21738-9321
Phone (410) 489-7537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060919000442 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Sleep MedicinePractitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8527951953 Reassigns benefits to 2 organizations
I20130326000456 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527951953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Warren Alpert Medical School of Brown University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8736

1830 Town Ctr Dr
Reston, VA 20190-3292
Phone (703) 481-3165

224 D Cornwall NWST
Suite 306
Leesburg, VA 20176-2704
Phone (571) 209-5490

2415 Musgrove Rd
Suite 203
Silver Spring, MD 20904-5228
Phone (301) 989-2300

3023 Hamaker CT
Suite 100
Fairfax, VA 22031-2227
Phone (703) 641-9161

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Sleep Medicine CurrentSince Feb 8, 2014 Accepting new patients
Privia Medical Group, LLC CurrentSince Feb 8, 2014 Accepting new patients
Neighborhood Sleep Physicians Sleep Medicine CurrentSince Sep 19, 2008 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
The Capital Sleep Specialists & Diagnostic Ctr PastSince Mar 1, 2004 Accepting new patients
Maryland Sleep Medicine LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10605 Concord St
Ste 500
Kensington, MD 20895
Phone (301) 942-2977

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

18101 Prince Philip Dr
#H
Olney, MD 20832
Phone (301) 774-8650

1395 Piccard Dr
Ste 310
Rockville, MD 20850
Phone (301) 963-7850

15215 Shady Grove Rd
Ste 301
Rockville, MD 20850
Phone (240) 912-7771

2415 Musgrove Rd
Ste 203
Silver Spring, MD 20904
Phone (301) 989-2300

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

3023 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 641-9161

44055 Riverside Pkwy
Ste 244
Leesburg, VA 20176
Phone (703) 858-3180

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.miller.1@8042.direct.athenahealth.com

Organizations & group practices 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1659306439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3922 CLARKS MEADOW DR",
            "city": "GLENWOOD",
            "state": "MD",
            "postal_code": "217389321",
            "telephone_number": "410-489-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 PRINCE PHILIP DR",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321514",
            "telephone_number": "301-774-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MD",
            "license": "D57581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.