Roberto Miller, PA-C
Physician Assistant, Medical in Grant, MI. Individual provider (NPI-1).
NPI number1124159488
StatusActive
Last updated in NPPESAug 11, 2026
Details
- NPI
- 1124159488
- Entity type
- Individual (NPI-1)
- Name
- Roberto Miller
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 8, 2007
- Certification date
- Aug 11, 2026
- Last updated
- Aug 11, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 5601004786 | MI | Yes |
Practice location
11 N Maple StGrant, MI 49327-7900
Phone 231-834-0444
Mailing address
520 Cobb StCadillac, MI 49601-2588
Phone 231-834-0444 · Fax 231-876-6519
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