Physician Compare National (NPI:1225241359)

HEALTHCARE PROVIDER: LESLIE ROBIN MILLER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1225241359
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6002986452
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080528000549
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MILLER
	Individual professional last name
Provider First Name	LESLIE
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	YALE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	52 BEACH RD
	Group Practice or individual's line 1 address
Line 2 Street Address	102A
	Group Practice or individual's line 2 address
City	FAIRFIELD
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068246017
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070010
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	BRIDGEPORT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070022
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	YALE-NEW HAVEN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	M