Healthcare Provider Details

I. General information

NPI: 1538327283
Provider Name (Legal Business Name): ANDREW MICHAEL MILLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 CONGRESSIONAL BLVD STE 115
CARMEL IN
46032-5644
US

IV. Provider business mailing address

8092 HEYWARD DR
INDIANAPOLIS IN
46250-4225
US

V. Phone/Fax

Practice location:
  • Phone: 833-351-8255
  • Fax:
Mailing address:
  • Phone: 260-726-0685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number01069766A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number01069766A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: