NPIMap

Individual provider Active NPI

Michael Brandon Miller, M.D.

  • Family Medicine Physician
  • Williamson, NY
National Provider Identifier
1942334388
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
244420-1 Issued in NY
Practice address
4425 Old Ridge Rd
Williamson, NY 14589-9363
Phone
(315) 483-3220
NPI assigned
Mar 16, 2007
Last updated
May 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5381 TX
Family Medicine Physician 207Q00000X 244420-1 NY Primary

Addresses

Primary practice location

4425 Old Ridge Rd
Williamson, NY 14589-9363

Mailing address

28 Hidden Harbor Way
Webster, NY 14580-1887
Phone (585) 698-6505

Other identifiers 1

IdentifierTypeStateIssuer
02893814MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071010000181 NY Practitioner - Family Practice 4486740230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pittsburgh School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

4425 Old Ridge Rd
Williamson, NY 14589-9363
Phone (315) 483-3220

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244420-1NYMDFamily Medicine Physician
M5381TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Dec 1, 2016 Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Rochester General Hospital CurrentSince Jul 1, 2007 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

4425 Old Ridge Rd
Williamson, NY 14589
Phone (315) 483-3280

Interoperability endpoints

  • Direct secure messaging: mmiller52165@direct.rochesterregional.org

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

Hospital & facility affiliations 4

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1942334388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HIDDEN HARBOR WAY",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145801887",
            "telephone_number": "585-698-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 OLD RIDGE RD",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899363",
            "telephone_number": "315-483-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5381",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "244420-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02893814",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, NY

Sources for this page

Verify at the official NPI Registry.