Active NPI
Howard Michael Miller, M.D.
- Dermatology Physician
- Palm Desert, CA
National Provider Identifier
1992773477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 01070085A
- Practice address
- 44650 Village CT
100
Palm Desert, CA 92260-3812 - Phone
- (760) 346-4003
- Fax
- (760) 346-4443
- NPI assigned
- Mar 9, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G27597 | CA | |
| Dermatology Physician | 207N00000X | G27597 | CA | |
| Dermatology Physician | 207N00000X | 01070085A | IN | Primary |
Addresses
Primary practice location
44650 Village CT
100
Palm Desert, CA 92260-3812
Mailing address
44650 Village CT
100
Palm Desert, CA 92260-3812
Phone (760) 346-4003
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201029620 | Medicaid | IN | |
| 000000724503 | Other | IN | ANTHEM PROVIDER NUMBER |
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 |
|---|---|---|---|
| 01070085A | IN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mirage Medical Group | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Rancho Mirage, CA
- NPI 1528208758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1992773477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44650 VILLAGE CT",
"address_2": "100",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603812",
"telephone_number": "760-346-4003",
"fax_number": "760-346-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44650 VILLAGE CT",
"address_2": "100",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922603812",
"telephone_number": "760-346-4003",
"fax_number": "760-346-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "HOWARD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G27597",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G27597",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IN",
"license": "01070085A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201029620",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000724503",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.