Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Miller, MD

Individual provider Family Medicine Physician · NPI 1588045488

Michael Miller, MD is a Family Practice in Fulton, New York. Qualified in 2015, 11 years ago. Practices with Northern Oswego County Health Services, Inc, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 S 4th St Ste 600
Fulton, NY 13069-2904
Phone: (315) 598-4790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 296061 (NY)

Record details

NPI number1588045488
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2015
Last updated in NPPESSeptember 14, 2018
Mailing address61 Delano St, Pulaski, NY 13142-1400

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northern Oswego County Health Services, Inc. — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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