Individual provider Active NPI

Alan Michael Miller, M.D.

  • Otolaryngology Physician
  • Norristown, PA
National Provider Identifier
1932162930
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD-013843E Issued in PA
Practice address
306 W Logan St
Norristown, PA 19401-2935
Phone
(610) 275-6153
Fax
(610) 278-7709
NPI assigned
Apr 10, 2006
Last updated
Apr 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD-013843E PA Primary

Addresses

Primary practice location

306 W Logan St
Norristown, PA 19401-2935

Mailing address

994 Old Eagle School Rd Ste 1017
Wayne, PA 19087-1802
Phone (610) 902-6092

Other identifiers 6

IdentifierTypeStateIssuer
0006413380001MedicaidPA
072327OtherHIGHMARK BLUE SHIELD
78665OtherUNITED HEALTHCARE
0045517000OtherINDEPENDENCE BLUE CROSS
4088055OtherAETNA
1817536OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-013843EPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle ENT Alliance of New Jersey LLC Past Accepting new patients
Audiologic Diagnostic Center PastSince Apr 1, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alan.miller@penta.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1932162930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "994 OLD EAGLE SCHOOL RD STE 1017",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871802",
            "telephone_number": "610-902-6092",
            "fax_number": "610-902-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W LOGAN ST",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194012935",
            "telephone_number": "610-275-6153",
            "fax_number": "610-278-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ALAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD-013843E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006413380001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "072327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "78665",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0045517000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4088055",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1817536",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.