Individual provider Active NPI

Joseph M Miller, MD

  • Ophthalmology Physician
  • Tucson, AZ
National Provider Identifier
1699863282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20168 Issued in AZ
Practice address
707 N Alvernon Way Ste 301
Tucson, AZ 85711-1848
Phone
(520) 694-1460
Fax
(520) 694-1464
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 20168 AZ Primary

Addresses

Primary practice location

707 N Alvernon Way Ste 301
Tucson, AZ 85711-1848

Mailing address

575 E River Rd
Tucson, AZ 85704-5822
Phone (520) 874-7400

Other identifiers 1

IdentifierTypeStateIssuer
059057MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20081030000420 AZ Practitioner - Ophthalmology 5092874446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group Ophthalmology CurrentSince Dec 12, 1996 Accepting new patients
Yuma Regional Medical Center CurrentSince Jan 9, 2017 Accepting new patients
Banner-University Medical Group CurrentSince Dec 12, 1996 Accepting new patients

Locations

2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1625 N Campbell Ave
Tucson, AZ 85719

1501 N Campbell Ave
Tucson, AZ 85724
Phone (520) 626-7747

707 N Alvernon Way
Ste 301
Tucson, AZ 85711
Phone (520) 694-1460

575 E River Rd
Tucson, AZ 85704
Phone (520) 874-4135

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

707 N Alvernon Way
Tucson, AZ 85711
Phone (520) 621-6323

2851 S Avenue B
Ste 2504
Yuma, AZ 85364
Phone (928) 271-6105

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699863282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045822",
            "telephone_number": "520-874-7400",
            "fax_number": "520-874-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ALVERNON WAY STE 301",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111848",
            "telephone_number": "520-694-1460",
            "fax_number": "520-694-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "20168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059057",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.