Individual provider Active NPI

Kristin Miller, M.D.

  • Family Medicine Physician
  • El Reno, OK
National Provider Identifier
1023378650
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31454 Issued in OK
Practice address
605 SW 27TH St
El Reno, OK 73036-5928
Phone
(405) 295-2200
Fax
(405) 295-2178
NPI assigned
May 16, 2012
Last updated
Aug 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31454 OK Primary

Addresses

Primary practice location

605 SW 27TH St
El Reno, OK 73036-5928

Mailing address

605 SW 27TH St
El Reno, OK 73036-5928
Phone (405) 295-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20150616002583 OK Practitioner - Family Practice 1052622180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515

520 S Mustang Rd
Yukon, OK 73099-6737
Phone (405) 936-5910

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Logan County, Inc CurrentSince Oct 20, 2020 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jul 27, 2015 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 20, 2020 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Dec 1, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301

12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100

1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

520 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-6653

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

Interoperability endpoints

  • Direct secure messaging: kmiller709482@directc.mercy.net

Organizations & group practices 7

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1023378650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SW 27TH ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365928",
            "telephone_number": "405-295-2200",
            "fax_number": "405-295-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SW 27TH ST",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730365928",
            "telephone_number": "405-295-2200",
            "fax_number": "405-295-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "31454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

Verify at the official NPI Registry.