KENNETH A MILLER M D MED CORP
NPI 1295847333
Dermatology in Los Gatos, CA
About Kenneth A Miller M D Med Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH A MILLER M D MED CORP (NPI 1295847333) is a healthcare organization registered as a dermatology in Los Gatos, California and active in the NPI registry since August 2006. The organization lists Kenneth A Miller, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 A Miller M D Med Corp 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 A Miller M D Med Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 05D0709619
Kenneth Miller A Medical Corporation · Los Gatos, CAFrequently 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 A Miller M D Med Corp's NPI number?
The NPI number for Kenneth A Miller M D Med Corp is 1295847333. It was assigned to this organization in the NPPES registry on August 31, 2006.
Where is Kenneth A Miller M D Med Corp located?
Kenneth A Miller M D Med Corp is located at 14527 S Bascom Ave, Los Gatos, CA 95032. The listed phone number is (408) 356-9111.
What is Kenneth A Miller M D Med Corp's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Kenneth A Miller M D Med Corp enrolled in Medicare?
Yes. Kenneth A Miller M D Med Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenneth A Miller M D Med Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Kenneth A Miller M D Med Corp. 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 A Miller M D Med Corp was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 A Miller M D Med Corp · NPI 1295847333
Dermatology organization in Los Gatos, California. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1295847333 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Kenneth Miller, PRESIDENT
## Practice location
- **Address:** 14527 S BASCOM AVE, Los Gatos, CA 95032-2003
- **Phone:** (408) 356-9111 · **Fax:** (408) 365-9113
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dermatology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other G223300 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295847333) · Data from the CMS NPPES public registry.