Individual provider Active NPI

Elie Nahum Miller, MD

  • Family Medicine Physician
  • Pikesville, MD
National Provider Identifier
1770011801
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0087909 Issued in MD
Practice address
1 Reservoir Cir Ste 200
Pikesville, MD 21208-6413
Phone
(443) 242-7265
Fax
(410) 397-1659
NPI assigned
Jun 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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 D0087909 MD Primary

Addresses

Primary practice location

1 Reservoir Cir Ste 200
Pikesville, MD 21208-6413

Mailing address

6513 Deancroft Rd
Baltimore, MD 21209-2722
Phone (617) 990-4197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20200108000260 MD Practitioner - Family Practice 3476828336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Reservoir Cir
Pikesville, MD 21208-6411
Phone (443) 242-7265

Hospital & facility affiliations

  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0087909MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Elie N Miller Management, LLC Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1 Reservoir Cir
Pikesville, MD 21208
Phone (443) 242-7265

1 Reservoir Cir
Ste 200
Pikesville, MD 21208
Phone (443) 242-7265

Interoperability endpoints

  • Direct secure messaging: elie.miller@645936658186244.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1770011801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 DEANCROFT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212092722",
            "telephone_number": "617-990-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RESERVOIR CIR STE 200",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086413",
            "telephone_number": "443-242-7265",
            "fax_number": "410-397-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELIE",
        "middle_name": "NAHUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0087909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

Verify at the official NPI Registry.