SHANE MICHAEL MILLER M.D.
NPI 1487829719
Pediatrics - Sports Medicine in Frisco, TX

Q: What is Shane Miller's NPI number?

The NPI number for Shane Miller is 1487829719. It was assigned to this individual provider in the NPPES registry on April 28, 2008.

Q: What is Shane Miller's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Q: When was this NPI record last updated?

The NPPES record for Shane Miller was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 28, 2008PECOS Enrolled

5700 DALLAS PKWY, FRISCO, TX 75034(469) 515-7100(214) 443-7309 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shane Michael Miller M.d. NPPES

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

SHANE MICHAEL MILLER M.D. (NPI 1487829719) is an individual sports medicine provider in Frisco, Texas, licensed in Texas (N2663) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487829719

Entity TypeIndividualMale

Primary Taxonomy2080S0010X

Provider Legal NameSHANE MICHAEL MILLERCredential: M.D.

Location Address5700 DALLAS PKWYFrisco, TX 75034-9580

Mailing Address2222 Welborn StDallas, TX 75219-3924 · (214) 559-5000 · Fax (214) 443-7309

Phone(469) 515-7100

Fax(214) 443-7309

Sole ProprietorNo

Enumeration DateApril 28, 2008

Last NPPES UpdateFebruary 1, 2019

✔ NPI 1487829719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

Licenses✔ Licensed in TX · N2663✔ Licensed in CO · 46860

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

5700 DALLAS PKWY, Frisco, TX 75034

Open in Google Maps ↗

Other Identifiers 1

Medicaid209257901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Michael Miller M.d. 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 20

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

MR. RAYMOND W. KLEPOSKI III MSN, APN

Nurse Practitioner (Pediatrics)