Organization Active NPI

Thomas J. Miller, M.D., P.a.

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1679881338
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G4655 Issued in TX
Legal business name
THOMAS J. MILLER, M.D., P.A.
Practice address
3600 Matlock Rd Ste 102
Arlington, TX 76015-3679
Phone
(817) 467-9096
Fax
(817) 472-9338
NPI assigned
Sep 15, 2010
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Dr. Thomas J Miller, M.D,NPI 1003819798
Title
President
Phone
(871) 467-9096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G4655 TX Primary

Addresses

Primary practice location

3600 Matlock Rd Ste 102
Arlington, TX 76015-3679

Mailing address

3600 Matlock Rd Ste 102
Arlington, TX 76015-3679
Phone (817) 467-9096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101018000891 TX Part B Supplier - Clinic/Group Practice 0042403420 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1679881338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MATLOCK RD STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153679",
            "telephone_number": "817-467-9096",
            "fax_number": "817-472-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MATLOCK RD STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760153679",
            "telephone_number": "817-467-9096",
            "fax_number": "817-472-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. MILLER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "871-467-9096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G4655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.