Individual provider Active NPI

Jerry W. Miller, M.D.

  • Cardiovascular Disease Physician
  • El Paso, TX
National Provider Identifier
1811936511
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
H1626 Issued in TX
Practice address
1330 E. Yandell Drive
El Paso, TX 79902-5529
Phone
(915) 225-0410
Fax
(915) 225-0419
NPI assigned
Jun 6, 2006
Last updated
Aug 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X H1626 TX Primary

Addresses

Primary practice location

1330 E. Yandell Drive
El Paso, TX 79902-5529

Mailing address

1330 E Yandell Dr
El Paso, TX 79902-5529
Phone (915) 225-0410

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
I20090121000415 TX Practitioner - Cardiovascular Disease (Cardiology) 2466553920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Virginia School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 E Yandell Dr
El Paso, TX 79902-5529
Phone (915) 225-0410

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as individual
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
84.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H1626TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Hospitals Limited Cardiovascular Disease CurrentSince May 1, 2014 Accepting new patients
Jerry W. Miller, M.D., P.a. Cardiovascular Disease CurrentSince Nov 11, 2008 Accepting new patients
Tenet Hospitals Limited CurrentSince May 1, 2014 Accepting new patients

Locations

1330 E Yandell Dr
El Paso, TX 79902
Phone (915) 225-0410

1700 N Oregon St
Ste 630
El Paso, TX 79902
Phone (915) 225-0410

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

2001 N Oregon St
#M
El Paso, TX 79902
Phone (915) 577-6011

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11036/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jerry.miller.1@11036.direct.athenahealth.com

Organizations & group practices 4

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 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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1811936511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025529",
            "telephone_number": "915-225-0410",
            "fax_number": "915-225-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E. YANDELL DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025529",
            "telephone_number": "915-225-0410",
            "fax_number": "915-225-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JERRY",
        "middle_name": "W.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "H1626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.