Individual provider Active NPI

Samuel B Miller, M.D.

  • Neurology Physician
  • Baltimore, MD
National Provider Identifier
1851352942
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0041197 Issued in MD
Practice address
1420 Key Hwy
Baltimore, MD 21230-5546
Phone
(410) 230-7800
Fax
(410) 230-7801
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0041197 MD Primary

Addresses

Primary practice location

1420 Key Hwy
Baltimore, MD 21230-5546

Mailing address

3807 Timber View Way
Reisterstown, MD 21136-1839
Phone (443) 903-0019

Other identifiers 1

IdentifierTypeStateIssuer
083421100MedicaidMD

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000367 MD Practitioner - Neurology 6103904594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Maryland School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Total Elder Care, LLCGroup PAC ID 4981901550, 27 clinicians

Practice addresses (Care Compare)

3001 S Hanover St
Baltimore, MD 21225-1233
Phone (410) 350-3200

9103 Franklin Square Dr
Baltimore, MD 21237-3900
Phone (410) 933-4966

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0041197MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mody & Miller, M.D., P.a. CurrentSince Aug 1, 1993 Accepting new patients
Medstar Total Elder Care LLC CurrentSince Dec 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2022 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

5445 Loch Raven Blvd
Ste 203
Baltimore, MD 21239
Phone (443) 444-6100

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

7310 Ritchie Hwy
Ste 710
Glen Burnie, MD 21061
Phone (301) 760-5599

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9103 Franklin Square Dr
Rosedale, MD 21237
Phone (443) 777-7147

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1851352942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 TIMBER VIEW WAY",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361839",
            "telephone_number": "443-903-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 KEY HWY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305546",
            "telephone_number": "410-230-7800",
            "fax_number": "410-230-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SAMUEL",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0041197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083421100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.