FREDERICK EUGENE MILLER (MD) – Psychiatry Physician, NPI 1780604041

FREDERICK EUGENE MILLER (MD) is a healthcare provider. based in Evanston, Illinois. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 036069862 (IL). The NPI Number for FREDERICK EUGENE MILLER (MD) is 1780604041

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
FREDERICK EUGENE MILLER (MD)
NPI
1780604041
Phone
(847) 570-1206
Address
2650 RIDGE AVE
Enumeration Date
20 July 2006
Last Update Date
6 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
0345212858
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20050901000070
Address ID
IL602011700EV2650XAVEX300

Contacts

Secure Messaging
fmiller7791@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,367 PSYCHIATRY in IL

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Provider Addresses for FREDERICK EUGENE MILLER (MD)

  • Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON HOSPITAL

    EVANSTON, IL 602011718

    Phone: (847) 570-1206

    Fax: (847) 570-1248

    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: 2005-09-01

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
I20050901000070IPsychiatryILTBD

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 60201)

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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: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

Is FREDERICK EUGENE MILLER (MD) listed with a National Provider Identifier?
Yes — FREDERICK EUGENE MILLER (MD) has NPI 1780604041 on file in the registry.
Is FREDERICK EUGENE MILLER (MD) shown as active in public data?
Registry records indicate FREDERICK EUGENE MILLER (MD) maintains an active NPI.
What kind of doctor is FREDERICK EUGENE MILLER (MD)?
FREDERICK EUGENE MILLER (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with FREDERICK EUGENE MILLER (MD)?
Directory geography for FREDERICK EUGENE MILLER (MD) centers on Evanston, Illinois.
When was this NPI issued?
Enumeration for FREDERICK EUGENE MILLER (MD) is noted as July 20, 2006 where the registry provides it.

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