Active NPI
Robert Lincoln Miller Jr., D.O.
- Developmental - Behavioral Pediatrics Physician
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- OP60821137
- Practice address
- 5520 College Blvd Ste 365
Overland Park, KS 66211-1658 - Phone
- (816) 302-9939
- Fax
- (816) 302-9939
- NPI assigned
- Mar 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | OP60821137 | WA | Primary |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 05-47587 | KS |
Addresses
Primary practice location
5520 College Blvd Ste 365
Overland Park, KS 66211-1658
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 234-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811964497 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-47587 | KS | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of CHMC and University Physicians | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Current | Accepting new patients | |
| The Children'S Mercy Hospital | Current | Accepting new patients | |
| The Children'S Mercy Hospital | Current | Accepting new patients | |
| The Children'S Mercy Hospital | Past | Accepting new patients |
Locations
5808 W 110th St
Overland Park, KS 66211
Phone (913) 696-8000
5520 College Blvd
Shawnee Msn, KS 66211
Phone (913) 491-3040
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Mail Order Pharmacy
- Riverside, MO
- NPI 1235923194
-
- Children's Hospital
- Overland Park, KS
- NPI 1154400232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1811964497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-234-3000",
"fax_number": "816-302-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5520 COLLEGE BLVD STE 365",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111658",
"telephone_number": "816-302-9939",
"fax_number": "816-302-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ROBERT",
"middle_name": "LINCOLN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "WA",
"license": "OP60821137",
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "KS",
"license": "05-47587",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811964497",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.