WILLIAM KYLE MILLER
NPI 1811516800
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 10, 2020PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2642 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Kyle Miller NPPES

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

WILLIAM KYLE MILLER (NPI 1811516800) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811516800
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM KYLE MILLER
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001
Sole ProprietorNo
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
NPI 1811516800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVE, Peoria, IL 61637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

William Kyle Miller 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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 William Miller's NPI number?

The NPI number for William Miller is 1811516800. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is William Miller located?

William Miller practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2642.

What is William Miller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Miller enrolled in Medicare?

Yes. William Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Miller was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.