ROBERT MILLER (MD) – Family Medicine Physician, NPI 1417937004

ROBERT MILLER (MD) is a healthcare provider. based in Maywood, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 36103949 (IL). The NPI Number for ROBERT MILLER (MD) is 1417937004

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT MILLER (MD)
NPI
1417937004
Phone
(708) 531-5200
Address
2160 S FIRST AVE
Enumeration Date
19 January 2006
Last Update Date
7 July 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
7082169000
Graduation Year
1998 (28 years ago)
PAC ID
7719875723
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20040310000070
Address ID
IL601533328MA2160XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
rmiller17850@direct.luhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,037 FAMILY PRACTICE in IL

Provider Addresses for ROBERT MILLER (MD)

  • 2160 S FIRST AVE

    (1211 ROOSEVELT RD., MAYWOOD, IL. 60153)

    MAYWOOD, IL 60153

    Phone: (708) 531-5200

    Fax: (708) 531-5201

    Mailing address matches the actual address.

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: 2004-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20040310000070IFamily PracticeILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes747220$0
99213Established patient office or other outpatient visit, 20-29 minutes12384$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9191$0
G0008Administration of influenza virus vaccine3938$0
G0009Administration of pneumococcal vaccine3737$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 3779488903View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to ROBERT MILLER (MD)?
NPI 1417937004 is assigned to ROBERT MILLER (MD) under the national enumeration system.
Is ROBERT MILLER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ROBERT MILLER (MD)?
The page reflects Family Medicine Physician for ROBERT MILLER (MD). Clinical services aligned with this taxonomy classification.
What location shows for ROBERT MILLER (MD)?
We surface Maywood, Illinois for ROBERT MILLER (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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