Individual provider Active NPI

Ernest Miller, MD

  • Psychiatry Physician
  • Gibson City, IL
National Provider Identifier
1922666429
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036175347 Issued in IL
Practice address
10 Doctors Park
Gibson City, IL 60936-2004
Phone
(217) 784-4540
Fax
(217) 784-4542
NPI assigned
May 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 69079 AZ
Psychiatry Physician 2084P0800X 036175347 IL Primary

Addresses

Primary practice location

10 Doctors Park
Gibson City, IL 60936-2004

Mailing address

1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230804000761 AZ Practitioner - Psychiatry 0345578233 Reassigns benefits to 2 organizations
I20250703001035 IL Practitioner - Psychiatry 0345578233 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10 Doctors Park
Gibson City, IL 60936-2004
Phone (217) 784-2807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69079AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association CurrentSince Jun 25, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2023 Accepting new patients
Maricopa County Special Health Care District CurrentSince May 4, 2024 Accepting new patients
Gibson Community Hospital Association Current Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Gibson Community Hospital Association CurrentSince Jun 25, 2025 Accepting new patients
District Medical Group, Inc CurrentSince Jul 1, 2023 Accepting new patients
Maricopa County Special Health Care District CurrentSince May 4, 2024 Accepting new patients
District Medical Group, Inc Psychiatry Past Accepting new patients

Locations

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

950 E Main St
Mesa, AZ 85203
Phone (602) 655-6200

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

10 Doctors Park
Gibson City, IL 60936
Phone (217) 784-2650

Interoperability endpoints

  • Direct secure messaging: ernest.miller.p27@direct.gapho.nextgenshare.com

Organizations & group practices 10

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1922666429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MELVIN ST",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609361477",
            "telephone_number": "217-784-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOCTORS PARK",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "609362004",
            "telephone_number": "217-784-4540",
            "fax_number": "217-784-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ERNEST",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "69079",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036175347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibson City, IL

Sources for this page

Verify at the official NPI Registry.