MIRANDA MILLER MD
NPI 1235622499
Pediatrics - Developmental - Behavioral Pediatrics in Providence, RI

Q: What is Miranda Miller's NPI number?

The NPI number for Miranda Miller is 1235622499. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Q: What is Miranda Miller's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Miller was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 12, 2018PECOS Enrolled

335R PRAIRIE AVE STE 1A, PROVIDENCE, RI 02905(401) 444-5685(401) 444-6115 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 20, 2024, Jul 27, 2021, Jun 12, 2018 (3 updates tracked since 2018).

On this page

About Miranda Miller Md NPPES

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

MIRANDA MILLER MD (NPI 1235622499) is an individual developmental - behavioral pediatrics provider in Providence, Rhode Island, licensed in Rhode Island (MD20204) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235622499

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameMIRANDA MILLERCredential: MD

Location Address335R PRAIRIE AVE STE 1AProvidence, RI 02905-2426

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541

Phone(401) 444-5685

Fax(401) 444-6115

Sole ProprietorNo

Enumeration DateJune 12, 2018

Last NPPES UpdateSeptember 20, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2024

✔ NPI 1235622499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Licenses✔ Licensed in RI · MD20204✔ Licensed in MA · T288742

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X · License MD20204 (RI)

335R PRAIRIE AVE STE 1A, Providence, RI 02905

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN SONN GERVASIO

Nurse Practitioner (Family)