ROBERT MILLER MD
NPI 1699034769
Radiology - Neuroradiology in Durham, NC

NPI Status: Active since May 10, 2012

Contact Information

3022 CROASDAILE DR STE 101
DURHAM, NC
ZIP 27705
Phone: (215) 720-0502

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  • Individual
  • Male
  • Years of Experience 14
  • Radiology
  • Neuroradiology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ROBERT MILLER

This page provides the complete NPI Profile along with additional information for Robert Miller, a provider established in Durham, North Carolina with a medical specialization in Radiology, focusing in neuroradiology and more than 14 years of experience. He graduated from Temple University School Of Medicine in 2012. The healthcare provider is registered in the NPI registry with number 1699034769 assigned on May 2012. The practitioner's primary taxonomy code is 2085N0700X with license number A128289 (CA). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1699034769
Provider Name
ROBERT MILLER MD
Gender
Male
Entity Type
Individual
Location Address
3022 CROASDAILE DR STE 101 DURHAM, NC 27705
Location Phone
(215) 720-0502
Mailing Address
810 9TH ST APT 234 DURHAM, NC 27705
Mailing Phone
(215) 720-0502
Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
05-10-2012
Last Update Date
07-19-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Neuroradiology

Taxonomy Code
2085N0700X
Type
Allopathic & Osteopathic Physicians
License No.
A128289
License State
CA
Taxonomy Description
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Robert Miller is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Robert Miller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7911432364

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241122001187, I20241224000689

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Miller is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER503 NORTH 21ST STREET
CAMP HILL, PA 17011
(717) 763-2100Acute Care Hospitals
EVANGELICAL COMMUNITY HOSPITALONE HOSPITAL DRIVE
LEWISBURG, PA 17837
(570) 522-2200Acute Care Hospitals
UPMC CARLISLE361 ALEXANDER SPRING ROAD
CARLISLE, PA 17015
(717) 249-1212Acute Care Hospitals
UPMC PINNACLE HOSPITALS409 SOUTH SECOND STREET
HARRISBURG, PA 17104
(717) 782-3131Acute Care Hospitals
UPMC HANOVER300 HIGHLAND AVE
HANOVER, PA 17331
(717) 637-3711Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699034769, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 0 + 3 + 8 + 7 + 1 + 2 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1699034769.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
3022 CROASDAILE DR STE 101
DURHAM, NC 27705
Radiology (Diagnostic Radiology)
3022 CROASDAILE DR STE 101
DURHAM, NC 27705

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699034769, enumerated as an "individual" on May 10, 2012.

The provider is located at 3022 CROASDAILE DR STE 101 DURHAM, NC 27705 and the phone number is (215) 720-0502.

Radiology with taxonomy code 2085N0700X and a focus in Neuroradiology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.

Robert Miller is affiliated with: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, EVANGELICAL COMMUNITY HOSPITAL, UPMC CARLISLE, UPMC PINNACLE HOSPITALS and UPMC HANOVER.