Active NPI
James C Miller, MD
- Internal Medicine Physician
- Palos Heights, IL
National Provider Identifier
1710933544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036063938
- Practice address
- 12450 S. Harlem Ave.
Palos Heights, IL 60463-1426 - Phone
- (708) 448-1207
- Fax
- (708) 229-6072
- NPI assigned
- May 25, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036063938 | IL | Primary |
Addresses
Primary practice location
12450 S. Harlem Ave.
Palos Heights, IL 60463-1426
Mailing address
12450 S. Harlem Ave.
Palos Heights, IL 60463-1426
Phone (708) 448-1207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036063938 | Medicaid | IL | |
| 110125309 | Other | IL | RAILROAD MEDICARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1710933544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12450 S. HARLEM AVE.",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631426",
"telephone_number": "708-448-1207",
"fax_number": "708-229-6072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12450 S. HARLEM AVE.",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631426",
"telephone_number": "708-448-1207",
"fax_number": "708-229-6072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JAMES",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036063938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036063938",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110125309",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.