Individual provider Active NPI

Hart Legrand Miller, MD

  • Adult Medicine Physician
  • Pahoa, HI
National Provider Identifier
1831109933
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
14141 Issued in HI
Practice address
15-2662 Pahoa Village Rd
Suite 306 PMB 8741
Pahoa, HI 96778-7730
Phone
(808) 930-6001
Fax
(808) 930-6007
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101232571 VA
Adult Medicine Physician 207QA0505X 14141 HI Primary

Addresses

Primary practice location

15-2662 Pahoa Village Rd
Suite 306 PMB 8741
Pahoa, HI 96778-7730

Mailing address

15-2662 Pahoa Village Rd
Suite 306 PMB 8741
Pahoa, HI 96778-7730
Phone (808) 930-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20070306000722 HI Practitioner - Family PracticePractitioner - General PracticePractitioner - Sports Medicine 4587697008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hilo Urgent Care Center LLCGroup PAC ID 7214825231, 7 clinicians

Practice addresses (Care Compare)

670 Kekuanaoa St
Hilo, HI 96720-4405
Phone (808) 969-3051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Jul 21, 2009 Accepting new patients
Hilo Urgent Care Center, LLC CurrentSince Apr 2, 2022 Accepting new patients

Locations

670 Kekuanaoa St
Hilo, HI 96720
Phone (808) 961-2609

16-590 Old Volcano Rd
Keaau, HI 96749
Phone (808) 966-7942

Interoperability endpoints

  • Direct secure messaging: hart.miller@hawaiihie.medicity.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1831109933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-2662 PAHOA VILLAGE RD",
            "address_2": "SUITE 306 PMB 8741",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967787730",
            "telephone_number": "808-930-6001",
            "fax_number": "808-930-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2662 PAHOA VILLAGE RD",
            "address_2": "SUITE 306 PMB 8741",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967787730",
            "telephone_number": "808-930-6001",
            "fax_number": "808-930-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HART",
        "middle_name": "LEGRAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101232571",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "HI",
            "license": "14141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahoa, HI

Sources for this page

Verify at the official NPI Registry.