NPIMap

Individual provider Active NPI

Robert Miller, MD

  • Neuroradiology Physician
  • Durham, NC
National Provider Identifier
1699034769
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A128289 Issued in CA
Practice address
3022 Croasdaile Dr Ste 101
Durham, NC 27705
Phone
(215) 720-0502
NPI assigned
May 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A128289 CA Primary

Addresses

Primary practice location

3022 Croasdaile Dr Ste 101
Durham, NC 27705

Mailing address

810 9TH St Apt 234
Durham, NC 27705-4323
Phone (215) 720-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241122001187 PA Practitioner - Diagnostic Radiology 7911432364 Reassigns benefits to 2 organizations
I20241224000689 KS Practitioner - Diagnostic Radiology 7911432364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physician Assoc IncGroup PAC ID 1355243809, 164 clinicians

Practice addresses (Care Compare)

1068 Gypsy Hill Rd
Ambler, PA 19002-2007
Phone (717) 932-5200

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 859-6700

4441 Hilltop Cir
Louisburg, KS 66053-7252
Phone (717) 932-5200

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 658-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128289CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Penn State Health Medical Group, LLC Current Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Neuroradiology CurrentSince Dec 1, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531958400000",
    "number": "1699034769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 9TH ST APT 234",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054323",
            "telephone_number": "215-720-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3022 CROASDAILE DR STE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27705",
            "telephone_number": "215-720-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-10",
        "last_updated": "2018-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A128289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.