MAX WILLIAM MILLER MD
NPI 1205915352
Emergency Medicine in Manteca, CA
About Max William Miller Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAX WILLIAM MILLER MD (NPI 1205915352) is an individual emergency medicine provider in Manteca, California, licensed in California (G55380) and active in the NPI registry since November 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)
Max William Miller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Max Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 95337 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.
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 Max Miller's NPI number?
The NPI number for Max Miller is 1205915352. It was assigned to this individual provider in the NPPES registry on November 2, 2006.
Where is Max Miller located?
Max Miller practices at 1721 W Yosemite Ave, Manteca, CA 95337. The listed phone number is (209) 476-2000.
What is Max Miller's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Max Miller enrolled in Medicare?
Yes. Max Miller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Max Miller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Max Miller reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Max 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 Max Miller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Max William Miller, MD · NPI 1205915352
Emergency Medicine physician in Manteca, California. Individual provider, active in the CMS NPPES registry since November 2, 2006.
## Identity
- **NPI:** 1205915352 (Entity type: Individual)
- **Enumerated:** November 2, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** G55380 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1721 W YOSEMITE AVE, Manteca, CA 95337-5130
- **Phone:** (209) 476-2000
## 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:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN A52938; Medicaid 00G553800 (CA); Medicare ID-Type Unspecified 00G553800
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Source: [NPI Profile](https://npiprofile.com/npi/1205915352) · Data from the CMS NPPES public registry.