Individual provider Active NPI

Andrea B Miller, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1710961909
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
27713 Issued in AZ
Practice address
1669 W Ina Rd Ste 101
Tucson, AZ 85704-1976
Phone
(520) 795-6183
Fax
(520) 298-9230
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 27713 AZ Primary

Addresses

Primary practice location

1669 W Ina Rd Ste 101
Tucson, AZ 85704-1976

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (520) 290-0300

Other identifiers 7

IdentifierTypeStateIssuer
110247583OtherRR MEDICARE
106517OtherPACIFICARE SECURE HORIZON
1Z9370OtherHEALTHNET
860780125OtherCIGNA
AZ0839620OtherBLUE CROSS BLUE SHIELD
AZ0728510OtherBLUE CROSS BLUE SHIELD
AZ860780125OtherUNITED HEALTHCARE

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
I20040331000474 AZ Practitioner - Internal Medicine 7315939378 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
NM Pacs 2 LLCGroup PAC ID 3375892060, 108 clinicians
Arizona Post-Acute Medical Services 1 PCGroup PAC ID 4688951239, 18 clinicians
CS Pacs 3 West LLCGroup PAC ID 8921546797, 12 clinicians

Practice addresses (Care Compare)

1313 W Magee Rd
Tucson, AZ 85704-3326
Phone (520) 797-2600

7500 N Calle Sin Envidia
Tucson, AZ 85718-7300
Phone (520) 745-6242

Hospital & facility affiliations

  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Northwest Transitions Inpatient rehabilitation facility, Tucson, AZ, CCN 03T114
  • Sandstone Estates Rehab Centre Nursing home, Tucson, AZ, CCN 035292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27713AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 West LLC CurrentSince Dec 16, 2024 Accepting new patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Dec 16, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Apr 1, 2016 Accepting new patients
NM Pacs 2 LLC CurrentSince Dec 16, 2024 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Apr 1, 2016 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Jan 12, 2025 Accepting new patients

Locations

1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777

3401 Lockwood Dr
Lakeside, AZ 85929
Phone (928) 368-2060

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

1669 W Ina Rd
Ste 101
Tucson, AZ 85704
Phone (520) 573-0966

1313 W Magee Rd
Tucson, AZ 85704
Phone (520) 797-2600

6365 E Tanque Verde Rd
Ste 12
Tucson, AZ 85715
Phone (520) 290-0300

1919 W Medical St
Tucson, AZ 85704
Phone (520) 297-7311

1515 E Tangerine Rd
3Rd FL
Tucson, AZ 85755

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

2221 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 881-2323

6365 E Tanque Verde Rd
Ste 120
Tucson, AZ 85715
Phone (520) 290-0300

Interoperability endpoints

  • Direct secure messaging: amiller114115@westdirect.optum.com

Organizations & group practices 6

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1710961909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "520-290-0300",
            "fax_number": "520-298-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W INA RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041976",
            "telephone_number": "520-795-6183",
            "fax_number": "520-298-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "27713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110247583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE SECURE HORIZON",
            "identifier": "106517",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z9370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "860780125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0839620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0728510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "AZ860780125",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.