Active NPI
Kyle Miller, MD
- Student in an Organized Health Care Education/Training Program
- Albany, NY
National Provider Identifier
1972173193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 64482
- Practice address
- 47 New Scotland Avenue
Dept. of Internal Medicine
Albany, NY 12208 - Phone
- (518) 262-5377
- NPI assigned
- Jun 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 64482 | NY | Primary |
Addresses
Primary practice location
47 New Scotland Avenue
Dept. of Internal Medicine
Albany, NY 12208
Mailing address
47 New Scotland Avenue
Dept. of Internal Medicine
Albany, NY 12208
Phone (518) 262-5377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240717000474 | MA | Order and Referring Only - Cardiovascular Disease (Cardiology) | 2062957848 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64482 | NY | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- kmiller27366@albanymed.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1972173193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 NEW SCOTLAND AVENUE",
"address_2": "DEPT. OF INTERNAL MEDICINE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-262-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 NEW SCOTLAND AVENUE",
"address_2": "DEPT. OF INTERNAL MEDICINE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-262-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KYLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-29",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "64482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.