Active NPI
Stephen Miller, M.D. P.A.
- Dermatology Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- J7586
- 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, 2009
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J7586 | Other | TX | LICENSE |
| 162478501 | Medicaid | TX | |
| 1760454060 | Other | TX | NPI |
| 8X5050 | Other | TX | BCBS OF TEXAS |
| P00024699 | Other | TX | RAILROAD MEDICARE ID# |
| DG9652 | Other | TX | RR MEDICARE PTAN GROUP |
| 1073584421 | Other | TX | NPI-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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 97.9
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 17 |
| Removal of skin lesions | 759 |
| Removal or shaving of skin growth | 109 |
| Skin biopsy | 136 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J7586 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen Miller MD PA | Dermatology | Current | Accepting new patients |
| Karis McCarroll MD PA | Current | 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.
-
dba Dermatology San Antonio
- Dermatology Physician
- San Antonio, TX
- NPI 1073584421
-
- Specialist
- San Antonio, TX
- NPI 1518268747
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.