JOE MILLER (M.D.) – Urology Physician, NPI 1093936692

JOE MILLER (M.D.) is a healthcare provider. based in Springfield, Illinois. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. 0101242356 (VA). The NPI Number for JOE MILLER (M.D.) is 1093936692

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JOE MILLER (M.D.)
NPI
1093936692
Phone
(217) 545-8853
Address
PO BOX 19656
Enumeration Date
1 May 2007
Last Update Date
2 May 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8087478321
Graduation Year
2006 (20 years ago)
PAC ID
1052597069
Group Practice PAC ID
4486984549
Professional Enrollment ID
I20250425001869
Address ID
HI967404408KA78XXXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

543 UROLOGY in IL

Provider Addresses for JOE MILLER (M.D.)

  • PO BOX 19656

    SPRINGFIELD, IL 627949656

    Phone: (217) 545-8853

    Fax: (217) 545-0828

    Type: Mailing

  • 301 N 8TH ST

    SPRINGFIELD, IL 627011041

    Phone: (217) 545-7500

    Fax: (217) 545-7305

    Type: Location

  • 78-6831 ALII DR STE 328

    KAILUA KONA, HI 967404408

    Phone: (808) 909-3139

    Type: Mailing

  • 301 N 8th St

    Springfield, IL 627011041

    Phone: (217) 545-7500

    Fax: (217) 545-7305

    Type: Location

  • 1802 Braeburn Dr

    Salem, VA 241537357

    Phone: (540) 772-3702

    Fax: (540) 772-3703

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241205003301IUrologyGUTBD
I20250425001869IUrologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62794)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486984549View full group profile
NameSpecialtyState
Internal Medicine, Infectious DiseaseCO
Physician AssistantHI
-HI
-WV
-HI
Physician AssistantNY
U R O L O G YWA
Physician AssistantHI
Nurse PractitionerHI
U R O L O G YMN

Reviews

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Frequently asked questions

Can I use this page to confirm JOE MILLER (M.D.)'s NPI?
Yes. JOE MILLER (M.D.) is listed with NPI 1093936692 in the public NPI dataset.
Is JOE MILLER (M.D.) listed as active for patients and plans?
The listing shows JOE MILLER (M.D.) as active in the NPI system.
What is JOE MILLER (M.D.)'s specialty?
The listing groups JOE MILLER (M.D.) with Urology Physician. Clinical services aligned with this taxonomy classification.
What area does JOE MILLER (M.D.) serve?
JOE MILLER (M.D.)'s listing highlights Springfield, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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