1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Internal Medicine
  6. NPI Profile

KENNETH MILLER MD LLC
NPI 1114233012
Internal Medicine - Hematology & Oncology in Baltimore, MD

Active since August 30, 2010
2500 W ROGERS AVE, BALTIMORE, MD 21215(443) 240-1682(855) 588-5951 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2022, May 10, 2022, Jan 3, 2020 (3 updates tracked since 2020).

About Kenneth Miller Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MILLER MD LLC (NPI 1114233012) is a healthcare organization registered as a hematology & oncology in Baltimore, Maryland and active in the NPI registry since August 2010. The organization maintains a secondary practice location in Baltimore and lists Tara L Lallier, Credentialing/coding Manager, as its authorized official.

NPPES Registry Identity

NPI1114233012
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameKENNETH MILLER MD LLC
Location Address2500 W ROGERS AVEBaltimore, MD 21215-4131
Mailing Address2500 W Rogers AveBaltimore, MD 21215-4131 · (443) 240-1682 · Fax (855) 588-5951
Phone(443) 240-1682
Fax(855) 588-5951
Organization SubpartNo
Authorized OfficialTara L LallierCredentialing/coding Manager · (321) 362-5128
Enumeration DateAugust 30, 2010
Last NPPES UpdateSeptember 15, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
✔ NPI 1114233012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2500 W ROGERS AVE, Baltimore, MD 21215
Open in Google Maps ↗

Secondary Practice Location 1

Location 12411 W Belvedere AveBaltimore, MD 21215-5228 · Phone (443) 240-1682 · Fax (855) 588-5951

Other Identifiers 2

Medicaid220065100MD
Medicaid445791900MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Miller Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenneth Miller MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Miller, MD
Internal Medicine
NPI 1861480535
2500 W ROGERS AVE
Baltimore, MD 21215
(860) 805-7400
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 MD LLC's NPI number?

The NPI number for Kenneth Miller MD LLC is 1114233012. It was assigned to this organization in the NPPES registry on August 30, 2010.

Where is Kenneth Miller MD LLC located?

Kenneth Miller MD LLC is located at 2500 W Rogers Ave, Baltimore, MD 21215. The listed phone number is (443) 240-1682.

What is Kenneth Miller MD LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kenneth Miller MD LLC enrolled in Medicare?

Yes. Kenneth Miller MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kenneth Miller MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kenneth Miller MD LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kenneth Miller MD LLC was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.