Michael Paul Minning, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33247 Issued in KY

Practice address

830 Thomas More Pkwy
Suite 200 B
Edgewood, KY 41017-5102

Phone

(859) 301-8686

Fax

(859) 301-8690

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Louisville School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kentucky Rehabilitation Services, Inc.Group PAC ID 8224096474, 142 clinicians

Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Home Care Home health agency, Florence, KY, CCN 187075
• Amedisys Home Health of Kentucky Home health agency, Crestview Hills, KY, CCN 187179
• St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
• St Elizabeth Florence Hospital, Florence, KY, CCN 180045
• St Elizabeth Ft Thomas Hospital, Fort Thomas, KY, CCN 180001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mminning4113@direct-prd.stelizabeth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Summit Medical Group, Inc

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216
  Medicare reassignment Care Compare group NPD
• Kentucky Rehabilitation Services Inc

  • Physical Therapy Clinic/Center
  • Crescent Springs, KY
  • NPI 1790780617
  Care Compare group
• Summit Medical Group, Inc.

  • Foot & Ankle Surgery Podiatrist
  • Crestview Hills, KY
  • NPI 1043188378
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys SP-Oh, L.L.C.

  • Home Health Agency
  • Crestview Hills, KY
  • NPI 1215940093
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Florence, KY
  • NPI 1154365062
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Edgewood, KY
  • NPI 1467492421
  Care Compare affiliation
• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Fort Thomas, KY
  • NPI 1740221795
  Care Compare affiliation
• St. Elizabeth Home Care Services, LLC

  • Home Health Agency
  • Florence, KY
  • NPI 1316136534
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1013974419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-341-3383",
            "fax_number": "859-578-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 THOMAS MORE PKWY",
            "address_2": "SUITE 200 B",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175102",
            "telephone_number": "859-301-8686",
            "fax_number": "859-301-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINNING",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "33247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389115",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64332471",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Williams Miller, M.D.
• Michelle Miller, ATC
• Michelle Nicole Miller, RBT
• Hanna Mills, RBT
• Susan Mills, NP
• Jessica Jourdan Mitchell
• Mark Alan Modlin, M.S.
• Stephen G Moeller, MD
• Danielle Mokas, RBT
• John Jarred Molitoris, M.D.

• Family Medicine Physician in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.