Individual provider Active NPI

Kyle Lamar Miller, D.O.

  • Cardiovascular Disease Physician
  • Olympia Fields, IL
National Provider Identifier
1073990529
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2021025229 Issued in MO
Practice address
20201 Crawford Ave
Attn: Postdoctoral Education
Olympia Fields, IL 60461-1010
Phone
(708) 747-4000
NPI assigned
May 5, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 05-44838 KS
Hospitalist Physician 208M00000X 02005427A IN
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 2021025229 MO Primary

Addresses

Primary practice location

20201 Crawford Ave
Attn: Postdoctoral Education
Olympia Fields, IL 60461-1010

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Other practice location 1

1980 SE Blue Pkwy Ste 2320
Lees Summit, MO 64063-1102
Phone (816) 607-2950

Other practice location 2

5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kmiller201935@Direct.FranciscanAlliance.org Direct
Direct Messaging Address KYLE.MILLER@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210722003152 MO Practitioner - Internal Medicine 9638464704 Reassigns benefits to 1 organization
I20210811001947 KS Practitioner - Internal Medicine 9638464704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Heart and Vascular Specialists LLCGroup PAC ID 7618122417, 81 clinicians

Practice addresses (Care Compare)

1980 SE Blue Pkwy
Suite 2320
Lees Summit, MO 64063-1102
Phone (816) 833-0381

Hospital & facility affiliations

  • Lee'S Summit Medical Center Hospital, Lees Summit, MO, CCN 260190
  • Belton Regional Medical Center Hospital, Belton, MO, CCN 260214
  • Western Missouri Medical Center Hospital, Warrensburg, MO, CCN 260097
  • Cass Regional Medical Center Hospital, Harrisonville, MO, CCN 261324
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027

Merit-based Incentive Payment System (MIPS)

Final score
82.81 of 100Reported as individual
Quality
72.9
Improvement activities
40
Cost
85.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-44838KSMDCardiovascular Disease Physician
2021025229MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Heart & Vascular Specialists, LLC Cardiovascular Disease CurrentSince Sep 7, 2021 Accepting new patients

Locations

12200 W 106th St
Ste 315
Overland Park, KS 66215
Phone (913) 348-4202

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

2000 SE Blue Pkwy
Ste 250
Lees Summit, MO 64063
Phone (816) 795-8200

1980 SE Blue Pkwy
Ste 2320
Lees Summit, MO 64063
Phone (816) 607-2950

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: kmiller201935@direct.franciscanalliance.org

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1073990529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20201 CRAWFORD AVE",
            "address_2": "ATTN: POSTDOCTORAL EDUCATION",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611010",
            "telephone_number": "708-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1980 SE Blue Pkwy Ste 2320",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640631102",
            "country_code": "US",
            "telephone_number": "816-607-2950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5454 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463201931",
            "country_code": "US",
            "telephone_number": "219-932-2300",
            "fax_number": "219-852-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KYLE",
        "middle_name": "LAMAR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2022-01-04",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "05-44838",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "02005427A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2021025229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmiller201935@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5454 Hohman Ave",
            "city": "Hammond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463201931",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KYLE.MILLER@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1980 SE Blue Pkwy Ste 2320",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640631102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia Fields, IL

Sources for this page

Verify at the official NPI Registry.