ROBERT MILLER
NPI 1902146582
Physician Assistant - Medical in Grand Rapids, MI

Q: What is Robert Miller's NPI number?

The NPI number for Robert Miller is 1902146582. It was assigned to this individual provider in the NPPES registry on February 19, 2013.

Q: What is Robert Miller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is Robert Miller enrolled in Medicare?

No. Robert Miller has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Robert Miller was last updated on April 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 February 19, 2013Opted out of Medicare · through Jul 1, 2028

3700 52ND ST SE, GRAND RAPIDS, MI 49512(616) 656-3700 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Robert Miller NPPES

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

ROBERT MILLER (NPI 1902146582) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601006600) and active in the NPI registry since February 2013. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1902146582

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameROBERT MILLER

Location Address3700 52ND ST SEGrand Rapids, MI 49512-9637

Mailing Address3700 52nd St SeGrand Rapids, MI 49512-9637

Phone(616) 656-3700

Sole ProprietorNo

Enumeration DateFebruary 19, 2013

Last NPPES UpdateApril 9, 2013

✔ NPI 1902146582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601006600

3700 52ND ST SE, Grand Rapids, MI 49512

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Robert Miller has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

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