Individual provider Active NPI

Gary E Miller, M. D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1770503336
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C8378 Issued in TX
Practice address
17115 Red Oak Dr
Suite 119
Houston, TX 77090-2607
Phone
(281) 440-6899
Fax
(281) 587-1164
NPI assigned
Jul 19, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C8378 TX Primary

Addresses

Primary practice location

17115 Red Oak Dr
Suite 119
Houston, TX 77090-2607

Mailing address

17115 Red Oak Dr
Suite 119
Houston, TX 77090-2607
Phone (281) 440-6899

Other identifiers 5

IdentifierTypeStateIssuer
53626OtherTXCIGNA
OOFO1UOtherTXBLUE CROSS/BLUE SHIELD
4498903OtherTXAETNA
098224101MedicaidTX
10006240OtherTXAMERIGROUP

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
I20100217000169 TX Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Addiction Medicine 3870637648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine, Geriatric Psychiatry
Education
Other, 1960
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary E Miller M D P aGroup PAC ID 5890839641, 2 clinicians

Practice addresses (Care Compare)

17115 Red Oak Dr
Houston, TX 77090-2607
Phone (281) 440-6899

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8378TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gary E Miller M D P a Psychiatry CurrentSince Apr 30, 2003 Accepting new patients

Locations

17115 Red Oak Dr
Ste 119
Houston, TX 77090
Phone (281) 440-6899

530 Wells Fargo Dr
Ste 110
Houston, TX 77090
Phone (281) 440-6899

2001 Ladbrook Dr
Kingwood, TX 77339
Phone (281) 358-1495

Organizations & group practices 1

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1770503336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "SUITE 119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "281-440-6899",
            "fax_number": "281-587-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17115 RED OAK DR",
            "address_2": "SUITE 119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902607",
            "telephone_number": "281-440-6899",
            "fax_number": "281-587-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "C8378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "53626",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "OOFO1U",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4498903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098224101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10006240",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.