Individual provider Active NPI

Ryan Miller, M.D.

  • Pediatric Endocrinology Physician
  • Baltimore, MD
National Provider Identifier
1932262037
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
D0063306 Issued in MD
Practice address
2411 W Belvedere Ave Ste 205
Baltimore, MD 21215-5229
Phone
(410) 601-8331
Fax
(410) 601-8859
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X D0063306 MD Primary

Addresses

Primary practice location

2411 W Belvedere Ave Ste 205
Baltimore, MD 21215-5229

Mailing address

2411 W Belvedere Ave Ste 205
Baltimore, MD 21215-5229
Phone (410) 601-8331

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
I20070827000258 MD Practitioner - Pediatric Medicine 2466544150 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063306MDMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Associates, PA Current Accepting new patients
University of Maryland Pediatric Assoc PA CurrentSince Mar 30, 2015 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Nov 19, 2024 Accepting new patients
University of Maryland Pediatric Associates, PA CurrentSince Mar 30, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients

Locations

22 S Greene St
Fl 5
Baltimore, MD 21201
Phone (410) 328-5887

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

2411 W Belvedere Ave
Ste 205
Baltimore, MD 21215
Phone (410) 601-8331

827 Linden Ave
Fl Second
Baltimore, MD 21201

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1708 W Rogers Ave
Mt Washington, MD 21209
Phone (410) 578-5334

Organizations & group practices 8

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1932262037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155229",
            "telephone_number": "410-601-8331",
            "fax_number": "410-601-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W BELVEDERE AVE STE 205",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155229",
            "telephone_number": "410-601-8331",
            "fax_number": "410-601-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MD",
            "license": "D0063306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.