Individual provider Active NPI

Anthony J Miller, MD

  • Diagnostic Radiology Physician
  • Las Vegas, NV
National Provider Identifier
1770531204
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD2009-0544 Issued in NM
Practice address
888 S Rancho Dr
Las Vegas, NV 89106-3810
Phone
(702) 877-5125
Fax
(702) 877-8370
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD2009-0544 NM Primary
Diagnostic Radiology Physician 2085R0202X 35.089451 OH
Diagnostic Radiology Physician 2085R0202X 40744 KY
Diagnostic Radiology Physician 2085R0202X 234069 NY
Diagnostic Radiology Physician 2085R0202X DR.0067712 CO
Diagnostic Radiology Physician 2085R0202X 036167592 IL

Addresses

Primary practice location

888 S Rancho Dr
Las Vegas, NV 89106-3810

Mailing address

PO Box 4934
Albuquerque, NM 87196-4934
Phone (505) 298-0301

Other identifiers 1

IdentifierTypeStateIssuer
51825848MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090825000288 NM Practitioner - Diagnostic Radiology 3779574512 Reassigns benefits to 5 organizations
I20240410000585 NV Practitioner - Diagnostic Radiology 3779574512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians

Practice addresses (Care Compare)

160 S Roadrunner Pkwy
Memorial Imaging Center of Las Cruces
Las Cruces, NM 88011-7044
Phone (505) 225-8476

4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (505) 225-8476

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067712COMDDiagnostic Radiology Physician
036167592ILMDDiagnostic Radiology Physician
MD2009-0544NMMDDiagnostic Radiology Physician
35.089451OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, Inc CurrentSince Jan 1, 2024 Accepting new patients
Zia Diagnostic Imaging Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Optumcare New Mexico LLC CurrentSince Apr 1, 2024 Accepting new patients
New Mexico Oncology Hematology Consultants, LTD. CurrentSince Jan 1, 2022 Accepting new patients
MSK-Guttman Diagnostic Center Diagnostic Radiology Past Accepting new patients
Artesia General Hospital Past Accepting new patients
Radiology Associates of Northern Kentucky, PLLC Diagnostic Radiology Past Accepting new patients
Allegheny Radiology Associates, LTD Diagnostic Radiology Past Accepting new patients
Southwest Medical Associates Inc. Past Accepting new patients

Locations

5150 Journal Center Blvd NE
Fl 3
Albuquerque, NM 87109
Phone (505) 262-3212

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

4901 Lang Ave NE
Albuquerque, NM 87109
Phone (505) 828-3877

2240 College Dr
Gallup, NM 87301
Phone (505) 297-1052

888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1770531204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4934",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871964934",
            "telephone_number": "505-298-0301",
            "fax_number": "505-998-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063810",
            "telephone_number": "702-877-5125",
            "fax_number": "702-877-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "MD2009-0544",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.089451",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "40744",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "234069",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0067712",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036167592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51825848",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.