Individual provider Active NPI

Stuart Miller, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Trumbull, CT
National Provider Identifier
1801855101
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
18657 Issued in CT
Practice address
999 Silver LN
3Rd Floor
Trumbull, CT 06611-5343
Phone
(203) 380-5270
Fax
(203) 380-5282
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 18657 CT Primary
Internal Medicine Physician 207R00000X 018657 CT

Addresses

Primary practice location

999 Silver LN
3Rd Floor
Trumbull, CT 06611-5343

Mailing address

999 Silver LN
3Rd Floor
Trumbull, CT 06611-5343
Phone (203) 380-5270

Other identifiers 2

IdentifierTypeStateIssuer
110006333OtherCTMEDICARE PTAN
001186576MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20090130000024 CT Practitioner - General Practice 7012076193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Georgetown University School of Medicine, 1974
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 Mill Plain Rd
Fairfield, CT 06824-5048
Phone (203) 255-3573

Hospital & facility affiliations

  • Hartford Healthcare at Home Hospice, East Hartford, CT, CCN 071507
  • Carolton Chronic & Convalescent Hospital Inc Nursing home, Fairfield, CT, CCN 075034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018657CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
In-House MD, LLC. CurrentSince Jan 1, 2015 Accepting new patients
Primed, LLC PastSince Jun 17, 2008 Accepting new patients

Locations

400 Mill Plain Rd
Fairfield, CT 06824
Phone (203) 255-3573

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1801855101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "3RD FLOOR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-380-5270",
            "fax_number": "203-380-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SILVER LN",
            "address_2": "3RD FLOOR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115343",
            "telephone_number": "203-380-5270",
            "fax_number": "203-380-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "18657",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "018657",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "110006333",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001186576",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.