Active NPI
Ross D Miller, MD
- Family Medicine Physician
- Hillsdale, MI
National Provider Identifier
1720086226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301056697
- Practice address
- 451 Hidden Meadows Dr
Suite 120
Hillsdale, MI 49242-9812 - Phone
- (517) 437-0010
- Fax
- (517) 437-0319
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301056697 | MI | Primary |
Addresses
Primary practice location
451 Hidden Meadows Dr
Suite 120
Hillsdale, MI 49242-9812
Mailing address
451 Hidden Meadows Dr
Suite 120
Hillsdale, MI 49242-9812
Phone (517) 437-0010
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2674131 | Medicaid | MI | |
| P89539 | Other | MI | BCN |
| 0120143 | Other | MI | PHP |
| 0803013841 | Other | MI | BCBS |
| 080031248 | Other | MI | MEDICARE |
| 102202 | Other | MI | GLHP |
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 |
|---|---|---|---|
| 4301056697 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1720086226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 HIDDEN MEADOWS DR",
"address_2": "SUITE 120",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492429812",
"telephone_number": "517-437-0010",
"fax_number": "517-437-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 HIDDEN MEADOWS DR",
"address_2": "SUITE 120",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492429812",
"telephone_number": "517-437-0010",
"fax_number": "517-437-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROSS",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301056697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2674131",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P89539",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "0120143",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0803013841",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "080031248",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "102202",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsdale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.