Active NPI
Ronald L. Miller, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- New Haven, CT
National Provider Identifier
1972740124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 022944
- Practice address
- 874 Howard Ave
New Haven, CT 06519-1106 - Phone
- (203) 688-8200
- Fax
- (203) 688-8204
- NPI assigned
- Jan 9, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 022944 | CT | Primary |
Addresses
Primary practice location
874 Howard Ave
New Haven, CT 06519-1106
Mailing address
874 Howard Ave
New Haven, CT 06519-1106
Phone (203) 688-8200
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972740124 | Other | CT | TRICARE |
| 2237728 | Other | CT | COVENTRY |
| 4125132 | Other | CT | AETNA |
| P00849949 | Other | CT | RR MEDICARE |
| 1972740124 | Other | CT | UNITED HEALTHCARE |
| 1972740124 | Other | CT | HARVARD PILGRIM |
| 1972740124 | Other | CT | MULTIPLAN |
| 022944 | Other | CT | CIGNA |
| 1972740124 | Other | CT | CONNECTICARE |
| 1972740124 | Other | CT | HEALTHY CT |
| P4193701 | Other | CT | OXFORD |
| 1972740124 | Medicaid | CT | |
| 1972740124 | Other | CT | ANTHEM |
| 905555 | Other | CT | WELLCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022944 | CT | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1972740124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 HOWARD AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191106",
"telephone_number": "203-688-8200",
"fax_number": "203-688-8204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 HOWARD AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191106",
"telephone_number": "203-688-8200",
"fax_number": "203-688-8204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "RONALD",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-09",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "CT",
"license": "022944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1972740124",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "2237728",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4125132",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00849949",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1972740124",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "1972740124",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "1972740124",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "022944",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "1972740124",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY CT",
"identifier": "1972740124",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P4193701",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972740124",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1972740124",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "905555",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.