Individual provider Active NPI

Stanley Joseph Miller, M.D.

  • Dermatology Physician
  • Towson, MD
National Provider Identifier
1841240470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D41550 Issued in MD
Practice address
1104 Kenilworth Dr
Ste 201
Towson, MD 21204-2101
Phone
(443) 279-0340
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X D41550 MD Primary

Addresses

Primary practice location

1104 Kenilworth Dr
Ste 201
Towson, MD 21204-2101

Mailing address

1104 Kenilworth Dr
Ste 201
Towson, MD 21204-2101
Phone (443) 279-0340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317001440 MD Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 6800786435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
University of Vermont College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ra Schleichert MD PAGroup PAC ID 9537133111, 3 clinicians

Practice addresses (Care Compare)

1104 Kenilworth Dr
Suite 201
Towson, MD 21204-3103
Phone (443) 279-0340

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ra Schleichert MD PA CurrentSince Jul 3, 2002 Accepting new patients
Kenilworth Surgery Center LLC PastSince Jul 3, 2002 Accepting new patients

Locations

1104 Kenilworth Dr
Ste 201
Towson, MD 21204
Phone (410) 279-0340

Interoperability endpoints

  • Direct secure messaging: smiller67438@direct.umm.edu

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841240470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR",
            "address_2": "STE 201",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042101",
            "telephone_number": "443-279-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 KENILWORTH DR",
            "address_2": "STE 201",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042101",
            "telephone_number": "443-279-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STANLEY",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D41550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.