Kevin James Miller, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

ME72995 Issued in FL

Practice address

1101 Tamiami TRL S
Suite 108
Venice, FL 34285-4133

Phone

(941) 488-2332

Fax

(941) 894-6230

NPI assigned

Oct 24, 2006

Last updated

Apr 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Family PracticeAlso: Addiction Medicine

Education

University of Miami, LM Miller School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keweenaw Bay Indian CommunityGroup PAC ID 7315070471, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baraga County Memorial Hospital Hospital, L' Anse, MI, CCN 231307

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  dba Aspirus Stevens Point Clinic - Illinois Avenue

  • Clinic/Center
  • Stevens Point, WI
  • NPI 1144991340
  Medicare reassignment NPD
• Keweenaw Bay Indian Community

  • Federally Qualified Health Center (FQHC)
  • Baraga, MI
  • NPI 1336232289
  Care Compare group NPD (past)
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

  • General Acute Care Hospital
  • Rhinelander, WI
  • NPI 1356391247
  NPD

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

• Baraga County Memorial Hospital

  • Critical Access Hospital
  • L'Anse, MI
  • NPI 1558479824
  Care Compare affiliation

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1750465910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 TAMIAMI TRL S",
            "address_2": "SUITE 108",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854133",
            "telephone_number": "941-488-2332",
            "fax_number": "941-894-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TAMIAMI TRL S",
            "address_2": "SUITE 108",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342854133",
            "telephone_number": "941-488-2332",
            "fax_number": "941-894-6230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72995",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME72995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kevinmiller@pfhc.amazing-direct.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "1101 Tamiami Trl S",
            "address_2": "Suite 108",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342854133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Gregory Bruce Miller, P.T.
• Kathryn M. Miller, M.S.
• Kimberly J Miller, PSYD
• Lori Soule Miller, MSPT, ATC/L, CSCS
• Pamela Miller, DO
• Sunny Miller
• Tracey Reynee Miller, PTA

• Addiction Medicine (Family Medicine) Physician in Venice, FL
• Providers in Venice, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.