| Kelly L Miller, MD | |
|
1417 Madison Park Drive, Glen Burnie, MD 21061 | |
| (410) 768-6600 | |
| (410) 553-0710 |
| Full Name | Kelly L Miller |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 1417 Madison Park Drive, Glen Burnie, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205897287 | NPI | - | NPPES |
| 004362100 | Medicaid | MD | |
| P00434480 | Other | MD | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | D61418 (Maryland) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | D61418 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md Baltimore Washington Medical Center | Glen burnie, MD | Hospital |
| University Of Maryland Medical Center | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Community Medical Group Inc | 3678472214 | 394 |
| University Of Maryland Baltimore Washington Heart Associates Llc | 8729339148 | 25 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | University Of Maryland Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689623175 PECOS PAC ID: 2769394808 Enrollment ID: O20031105000792 |
| Entity Name | University Of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Entity Name | Baltimore Washington Medical Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124016696 PECOS PAC ID: 7719879485 Enrollment ID: O20040326001160 |
| Entity Name | The Heart Center Of Northern Anne Arundel County Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215929369 PECOS PAC ID: 0143226910 Enrollment ID: O20061023000441 |
| Entity Name | University Of Maryland Baltimore Washington Heart Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972084507 PECOS PAC ID: 8729339148 Enrollment ID: O20180925001720 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly L Miller, MD 1417 Madison Park Drive, Glen Burnie, MD 21061 Ph: (410) 768-6600 | Kelly L Miller, MD 1417 Madison Park Drive, Glen Burnie, MD 21061 Ph: (410) 768-6600 |
Mrs. Salvacion Dupaya Ramirez, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7845 Oakwood Rd, Ste 307, Glen Burnie, MD 21061 Phone: 410-760-4888 Fax: 410-760-1870 | |
Anuradha Boddeti, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6934 Aviation Blvd Ste F, Glen Burnie, MD 21061 Phone: 410-760-3588 Fax: 410-760-3604 | |
Dr. Gurmeet Singh Sawhney, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Hospital Dr, 202, Glen Burnie, MD 21061 Phone: 410-766-7616 Fax: 410-766-3092 | |
Mirza M. Nusairee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1401 Madison Park Dr, Suite #100, Glen Burnie, MD 21061 Phone: 410-766-4747 Fax: 410-766-4855 | |
Ijemma Chinomnso Cunningham, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6934 Aviation Blvd Ste F, Glen Burnie, MD 21061 Phone: 410-760-3588 Fax: 410-760-3604 | |
Dr. Deep H Dalal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406b Crain Hwy S, Suite 207, Glen Burnie, MD 21061 Phone: 410-590-4730 Fax: 410-590-4737 | |
Sridhar Atluri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7310 Ritchie Hwy, Suite 800, Glen Burnie, MD 21061 Phone: 410-768-3936 Fax: 410-766-6683 |