Active NPI
Michael M Miller, MD
- Pediatrics Physician
- Pinson, AL
National Provider Identifier
1710902804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 22920
- Practice address
- 6729 Deerfoot Pkwy
Pinson, AL 35126-3093 - Phone
- (205) 681-5377
- Fax
- (205) 681-6276
- NPI assigned
- Jul 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 22920 | AL | Primary |
Addresses
Primary practice location
6729 Deerfoot Pkwy
Pinson, AL 35126-3093
Mailing address
6729 Deerfoot Pkwy
Pinson, AL 35126-3093
Phone (205) 681-5377
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5076237 | Other | AL | CIGNA |
| 2095296 | Other | AL | UNITED HEALTH CARE |
| 51506480 | Other | AL | BC/BS |
| 51502150 | Other | AL | BC/BS |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22920 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Hospital of Alabama | Pediatrics | Past | Accepting new patients |
| The Children'S Hospital of Alabama | Past | Accepting new patients |
Interoperability endpoints
- michael.miller@pe.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Children's Hospital
- Birmingham, AL
- NPI 1205935012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710902804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6729 DEERFOOT PKWY",
"city": "PINSON",
"state": "AL",
"postal_code": "351263093",
"telephone_number": "205-681-5377",
"fax_number": "205-681-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6729 DEERFOOT PKWY",
"city": "PINSON",
"state": "AL",
"postal_code": "351263093",
"telephone_number": "205-681-5377",
"fax_number": "205-681-6276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "22920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5076237",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2095296",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "51506480",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "51502150",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinson, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.