NPIMap

Individual provider Active NPI

Andrea Miller, MD

  • Family Medicine Physician
  • Eldorado, IL
National Provider Identifier
1750333241
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036111146 Issued in IL
Practice address
1007 US Route 45
Eldorado, IL 62930
Phone
(618) 273-7723
Fax
(618) 351-4834
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036111146 IL Primary

Addresses

Primary practice location

1007 US Route 45
Eldorado, IL 62930

Mailing address

PO Box 3988
Carbondale, IL 62902-3988
Phone (618) 457-5200

Other practice location 1

3106 Outer Dr
Marion, IL 62959-5270
Phone (618) 997-4332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041020001077 IL Practitioner - Family Practice 1052372398 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Southern Illinois University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrisburg Medical Center IncGroup PAC ID 9638083884, 19 clinicians

Practice addresses (Care Compare)

1007 US Hwy 45 N
Eldorado, IL 62930-3767
Phone (618) 273-7723

3106 Outer Dr
Marion, IL 62959-5270
Phone (618) 997-4332

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036111146ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morris Hospital Current Accepting new patients
Morris Hospital CurrentSince Mar 16, 2020 Accepting new patients
Harrisburg Medical Center Inc Current Accepting new patients
Harrisburg Medical Center Inc Current Accepting new patients
Morris Hospital Family Medicine CurrentSince Mar 16, 2020 Accepting new patients
Harrisburg Medical Center Inc Past Accepting new patients
Harrisburg Medical Center Inc Past Accepting new patients

Locations

389 E Main St
Braidwood, IL 60408
Phone (815) 458-2532

1007 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-7723

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

3106 Outer Dr
Marion, IL 62959
Phone (618) 997-4332

150 W High St
Morris, IL 60450
Phone (815) 942-2129

Interoperability endpoints

  • Direct secure messaging: amiller21513@sih.direct-ci.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/harrisb-43985171
  • Direct secure messaging: andreamiller@hbmc.allscriptsdirect.net

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1750333241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3988",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023988",
            "telephone_number": "618-457-5200",
            "fax_number": "618-351-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 US ROUTE 45",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "62930",
            "telephone_number": "618-273-7723",
            "fax_number": "618-351-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595270",
            "country_code": "US",
            "telephone_number": "618-997-4332",
            "fax_number": "618-351-4857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036111146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldorado, IL

Sources for this page

Verify at the official NPI Registry.