Alban Ingram Miller Jr.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

036.079126 Issued in IL

Practice address

1708 Foxborough CT
Champaign, IL 61822-8503

Phone

(217) 369-9395

Fax

(217) 369-9395

NPI assigned

Oct 16, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Merit-based Incentive Payment System (MIPS)

Final score

90.56 of 100Reported as group

Quality

58.48

Promoting interoperability

100

Improvement activities

40

Cost

76.73

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 and National Provider Directory roles.

• Ameriwound Physicians Il LLC

  • General Practice Physician
  • Skokie, IL
  • NPI 1104245893

  Single Specialty

  Medicare reassignment NPD
• Renew Wound Care of Illinois PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1578146882

  Single Specialty

  Medicare reassignment NPD
• Vohra Wound Physicians of Il, S.C.

  • Family Medicine Physician
  • Arlington Heights, IL
  • NPI 1790080505
  Medicare reassignment
• Skyline Wound Care Midwest LLC

  • Plastic and Reconstructive Surgery Physician
  • St Petersburg, FL
  • NPI 1295445179

  Single Specialty

  NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1750892923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 FOXBOROUGH CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228503",
            "telephone_number": "217-369-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 FOXBOROUGH CT",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618228503",
            "telephone_number": "217-369-9395",
            "fax_number": "217-369-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALBAN",
        "middle_name": "INGRAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036.079126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Mikalik, RN
• Ian Miles, RBT
• Milestone Pediatrics Cu LLC
• Milestone Pediatrics Cu LLC
• Millennium Pain Center
• Brandon Keith Miller, LSW
• Erika Ann Miller
• Gregory Allen Miller, PH.D.
• Linda Miller, MSW
• Rebeca Miller

• Plastic and Reconstructive Surgery Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Plastic and Reconstructive Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.