Individual provider Active NPI

Stephen Miller, M.D. P.A.

  • Dermatology Physician
  • San Antonio, TX
National Provider Identifier
1760454060
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
J7586 Issued in TX
Practice address
8431 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-3364
Phone
(210) 615-7171
Fax
(210) 615-6793
NPI assigned
Feb 2, 2006
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X J7586 TX Primary

Addresses

Primary practice location

8431 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-3364

Mailing address

8431 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-3364
Phone (210) 615-7171

Other identifiers 7

IdentifierTypeStateIssuer
J7586OtherTXLICENSE
162478501MedicaidTX
1760454060OtherTXNPI
8X5050OtherTXBCBS OF TEXAS
P00024699OtherTXRAILROAD MEDICARE ID#
DG9652OtherTXRR MEDICARE PTAN GROUP
1073584421OtherTXNPI-GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20101230000695 TX Practitioner - Dermatology 7719928563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stephen Miller MD PAGroup PAC ID 6800837659, 13 clinicians

Practice addresses (Care Compare)

16110 Via Shavano
San Antonio, TX 78249-2380
Phone (210) 615-7171

Merit-based Incentive Payment System (MIPS)

Final score
98.95 of 100Reported as individual
Quality
97.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions759
Removal or shaving of skin growth109
Skin biopsy136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J7586TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Miller MD PA Dermatology CurrentSince Nov 18, 1999 Accepting new patients
Karis McCarroll MD PA CurrentSince Oct 17, 2010 Accepting new patients

Locations

524 Singing Oaks
Ste 280
Bulverde, TX 78070
Phone (210) 615-7171

12415 Bandera Rd
Ste 114
Helotes, TX 78023
Phone (210) 615-7171

16110 Via Shavano
San Antonio, TX 78249
Phone (210) 562-2660

1919 Rogers Rd
Ste 101
San Antonio, TX 78251
Phone (210) 615-7171

8431 Fredericksburg Rd
Ste 100
San Antonio, TX 78229
Phone (210) 615-7171

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1760454060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8431 FREDERICKSBURG RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293364",
            "telephone_number": "210-615-7171",
            "fax_number": "210-615-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8431 FREDERICKSBURG RD",
            "address_2": "SUITE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293364",
            "telephone_number": "210-615-7171",
            "fax_number": "210-615-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "credential": "M.D. P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J7586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "J7586",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162478501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1760454060",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8X5050",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID#",
            "identifier": "P00024699",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN GROUP",
            "identifier": "DG9652",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-GROUP",
            "identifier": "1073584421",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.