ALLISON MILLER (MD) – Nephrology Physician, NPI 1003379439

ALLISON MILLER (MD) is a healthcare provider. based in Portland, Oregon. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. V2791 (TX). The NPI Number for ALLISON MILLER (MD) is 1003379439

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON MILLER (MD)
NPI
1003379439
Phone
(503) 413-7036
Address
1015 NW 22ND AVE
Enumeration Date
11 April 2019
Last Update Date
29 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
5124515800
Graduation Year
2019 (7 years ago)
PAC ID
3072840578
Group Practice PAC ID
1658511217
Professional Enrollment ID
I20241220003657
Address ID
TX786137640CE1720XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

141 NEPHROLOGY in OR

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Provider Addresses for ALLISON MILLER (MD)

  • Legacy Good Samaritan Medical Center, 1015, Northwest 22nd Avenue, Northwest District, Portland, Metro, Multnomah County, Oregon, 97210, United States

    PORTLAND, OR 972103025

    Phone: (503) 413-7036

    Type: Mailing

  • 408 W 45TH ST

    AUSTIN, TX 787513014

    Phone: (512) 320-1500

    Type: Mailing

  • 1720 E WHITESTONE BLVD STE A

    CEDAR PARK, TX 786137641

    Phone: (512) 451-5800

    Fax: (512) 459-1399

    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: 2024-12-20

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
I20241220003657INephrologyTXTBD

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 97210)

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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: 1658511217View full group profile
NameSpecialtyState
Nurse PractitionerTX
N E P H R O L O G YTX
N E P H R O L O G YTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
-TX
Internal Medicine, NephrologyTX
Nephrology, Internal MedicineTX

Reviews

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Frequently asked questions

What number should I use to identify ALLISON MILLER (MD) for billing?
Administrative and clinical systems typically use NPI 1003379439 for ALLISON MILLER (MD).
Should I treat ALLISON MILLER (MD) as an active provider?
Patients and plans typically see ALLISON MILLER (MD) as active in the national extract.
What does the directory say ALLISON MILLER (MD) does?
Insurance directories may phrase it differently, but here ALLISON MILLER (MD) maps to Nephrology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to ALLISON MILLER (MD)?
The directory associates ALLISON MILLER (MD) with Portland, Oregon. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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