Active NPI
Glenn D. Miller, MD
- Cardiovascular Disease Physician
- Pittsburgh, PA
National Provider Identifier
1730189630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD044831L
- Practice address
- 490 E North Ave
Pittsburgh, PA 15212-4740 - Phone
- (412) 359-5822
- Fax
- (412) 359-6620
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD044831L | PA | Primary |
Addresses
Primary practice location
490 E North Ave
Pittsburgh, PA 15212-4740
Mailing address
490 E North Ave
Pittsburgh, PA 15212-4740
Phone (412) 359-5822
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012574570009 | Medicaid | PA | |
| 2022831 | Medicaid | OH | |
| 3005035000 | Medicaid | WV |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lowry Radiology Associates, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Jeannette, PA
- NPI 1063449593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1730189630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "490 E NORTH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124740",
"telephone_number": "412-359-5822",
"fax_number": "412-359-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 E NORTH AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124740",
"telephone_number": "412-359-5822",
"fax_number": "412-359-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GLENN",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD044831L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012574570009",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2022831",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3005035000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.