Active NPI
Richard A Miller, MD
- Family Medicine Physician
- Brownsburg, IN
National Provider Identifier
1699761320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01032035
- Practice address
- 590 Pit Rd
Brownsburg, IN 46112-7830 - Phone
- (317) 456-1200
- NPI assigned
- Sep 27, 2005
- Last updated
- Sep 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01032035 | IN | Primary |
| Hospitalist Physician | 208M00000X | 01032035A | IN |
Addresses
Primary practice location
590 Pit Rd
Brownsburg, IN 46112-7830
Mailing address
10330 N Meridian St # 300
Indianapolis, IN 46290-1024
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M471400011 | Other | IN | MEDICARE PROVIDER PTAN |
| 000000175368 | Other | IN | BCBS |
| 080180027 | Other | IN | RAILROAD MEDICARE |
| 100382770 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032035 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Medical Group LLC | Family Medicine | Past | Accepting new patients |
| Athens Medical Group, Inc | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Crawfordsville, IN
- NPI 1043444714
-
- Family Medicine Physician
- Crawfordsville, IN
- NPI 1831205210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1699761320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10330 N MERIDIAN ST # 300",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462901024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 PIT RD",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461127830",
"telephone_number": "317-456-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01032035",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01032035A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER PTAN",
"identifier": "M471400011",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000175368",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080180027",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100382770",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.