KENNETH JOEL MILLER MD
NPI 1073537817
Ophthalmology in San Pedro, CA
About Kenneth Joel Miller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH JOEL MILLER MD (NPI 1073537817) is an individual ophthalmology provider in San Pedro, California, licensed in California (C30205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Joel Miller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Pedro, CA 90731
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Kenneth J Miller MD A Medical Corp
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90732 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN PEDRO, CA 90732
SAN PEDRO, CA 90732
SAN PEDRO, CA 90732
SAN PEDRO, CA 90732
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Miller's NPI number?
The NPI number for Kenneth Miller is 1073537817. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Kenneth Miller located?
Kenneth Miller practices at 1360 W 6th St Suite 215, San Pedro, CA 90732. The listed phone number is (310) 547-9991.
What is Kenneth Miller's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Kenneth Miller enrolled in Medicare?
Yes. Kenneth Miller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kenneth Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Miller reassigns Medicare benefits to Peninsula Eyecare Medical Associates (San Pedro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Miller was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth Joel Miller, MD · NPI 1073537817
Ophthalmology physician in San Pedro, California. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1073537817 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** C30205 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1360 W 6TH ST, SUITE 215, San Pedro, CA 90732-3514
- **Phone:** (310) 547-9991 · **Fax:** (310) 547-2389
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peninsula Eyecare Medical Associates (NPI 1033131933, San Pedro, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 31, 2012
- **Other identifiers:** Medicare UPIN A34158 (CA); Medicare PIN W1629 (CA); Medicaid GR0042930 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1073537817) · Data from the CMS NPPES public registry.