Individual provider Active NPI

Wendi S. Miller, M.D.

  • Emergency Medicine Physician
  • Tavernier, FL
National Provider Identifier
1811172547
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME110810 Issued in FL
Practice address
90290 Overseas Hwy Ste 105
Tavernier, FL 33070-2263
Phone
(305) 453-6097
NPI assigned
Dec 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME110810 FL Primary
Emergency Medicine Physician 207P00000X W3712 TX
Emergency Medicine Physician 207P00000X 4301095881 MI
Emergency Medicine Physician 207P00000X 01070913A IN
Emergency Medicine Physician 207P00000X 062066 GA
Emergency Medicine Physician 207P00000X 65580 AZ

Addresses

Primary practice location

90290 Overseas Hwy Ste 105
Tavernier, FL 33070-2263

Mailing address

90290 Overseas Hwy Ste 105
Tavernier, FL 33070-2263
Phone (305) 453-6097

Other practice location 1

90290 Overseas Hwy Ste 105106
Tavernier, FL 33070-2266
Phone (305) 453-6097

Other practice location 2

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2699

Other practice location 3

702 Van Buren St
Fort Wayne, IN 46802-3697
Phone (260) 425-3000

Other practice location 4

PO Box 635004
Cincinnati, OH 45263-5004
Phone (260) 425-3000 ext. 26772

Other identifiers 3

IdentifierTypeStateIssuer
7100244980MedicaidKY
0378599MedicaidOH
0021491MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI, IN, FL, AZ, TX6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20100625000099 GA Practitioner - Emergency Medicine 7911038575 Reassigns benefits to 1 organization
I20110408000319 MI Practitioner - Emergency Medicine 7911038575 Reassigns benefits to 1 organization
I20120417000192 IN Practitioner - Emergency Medicine 7911038575 Reassigns benefits to 1 organization
I20120827000488 FL Practitioner - Emergency Medicine 7911038575 Reassigns benefits to 6 organizations
I20220516002552 AZ Practitioner - Emergency Medicine 7911038575 Reassigns benefits to 2 organizations
I20260330001565 TX Practitioner - Emergency Medicine 7911038575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

254 Azalea St
Tavernier, FL 33070-2203

4637 Chabot Dr
Suite 104
Pleasanton, CA 94588-2749

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65580AZMDEmergency Medicine Physician
ME110810FLMDEmergency Medicine Physician
062066GAMDEmergency Medicine Physician
01070913AINMDEmergency Medicine Physician
4301095881MIMDEmergency Medicine Physician
W3712TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 28, 2012 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince May 12, 2022 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince May 1, 2010 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine CurrentSince Mar 18, 2013 Accepting new patients
Miller Medicine and Wellness LLC CurrentSince Jan 7, 2024 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Oct 17, 2023 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Emergency Medicine Current Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Feb 1, 2014 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Miller Aesthetic Medicine, LLC PastSince Jun 1, 2023 Accepting new patients
Worth Lake Emergency Physicians Emergency Medicine Past Accepting new patients

Locations (25 of 37)

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657

2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

651 E 25th St
Hialeah, FL 33013
Phone (305) 835-4370

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

90290 Overseas Hwy
Ste 105
Tavernier, FL 33070
Phone (305) 453-6097

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1811172547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90290 OVERSEAS HWY STE 105",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702263",
            "telephone_number": "305-453-6097",
            "fax_number": "305-735-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90290 OVERSEAS HWY STE 105",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702263",
            "telephone_number": "305-453-6097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90290 Overseas Hwy Ste 105106",
            "address_purpose": "LOCATION",
            "city": "Tavernier",
            "state": "FL",
            "postal_code": "330702266",
            "country_code": "US",
            "telephone_number": "305-453-6097",
            "fax_number": "305-735-4014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-2699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 Van Buren St",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468023697",
            "country_code": "US",
            "telephone_number": "260-425-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO BOX 635004",
            "address_purpose": "LOCATION",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635004",
            "country_code": "US",
            "telephone_number": "260-425-3000 x26772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WENDI",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME110810",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "W3712",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301095881",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01070913A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "062066",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "65580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100244980",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378599",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0021491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavernier, FL

Sources for this page

Verify at the official NPI Registry.