NPIMap

Individual provider Active NPI

Sean Matthew Miller, M.D.

  • Otolaryngology Physician
  • Louisville, KY
National Provider Identifier
1093978355
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
46261 Issued in KY
Practice address
6420 Dutchmans Pkwy Ste 380
Louisville, KY 40205-3355
Phone
(502) 894-8441
Fax
(502) 894-4453
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01072297A IN
Otolaryngology Physician 207Y00000X 46261 KY Primary

Addresses

Primary practice location

6420 Dutchmans Pkwy Ste 380
Louisville, KY 40205-3355

Mailing address

6420 Dutchmans Pkwy Ste 380
Louisville, KY 40205-3355
Phone (502) 894-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130619000399 KY Practitioner - Otolaryngology 3274772462 Reassigns benefits to 1 organization
I20130820001059 IN Practitioner - Otolaryngology 3274772462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Louisville School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Care Centers PLLCGroup PAC ID 2961896832, 11 clinicians

Practice addresses (Care Compare)

1263 Hospital Dr NW
Suite 100
Corydon, IN 47112-2173
Phone (502) 897-7300

6420 Dutchmans Pkwy
Suite 380
Louisville, KY 40205-3355
Phone (502) 894-8441

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Care Centers PLLC Otolaryngology CurrentSince Apr 1, 2022 Accepting new patients
Memorial Health Partners Foundation Inc Current Accepting new patients

Locations

1263 Hospital Dr NW
Ste 100
Corydon, IN 47112
Phone (502) 888-1988

301 Gordon Gutmann Blvd
Ste 402
Jeffersonville, IN 47130
Phone (502) 894-8441

1405 Spring St
Jeffersonvlle, IN 47130
Phone (502) 894-8441

9850 Von Allmen Ct
Ste 104
Louisville, KY 40241
Phone (502) 894-8441

6420 Dutchmans Pkwy
Ste 380
Louisville, KY 40205
Phone (502) 894-8441

Interoperability endpoints

  • Direct secure messaging: smillermd@entcc.medentdirect.com
  • Direct secure messaging: seanmiller@tnmhpf.allscriptsdirect.net

Organizations & group practices 2

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1093978355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY STE 380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053355",
            "telephone_number": "502-894-8441",
            "fax_number": "502-894-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY STE 380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053355",
            "telephone_number": "502-894-8441",
            "fax_number": "502-894-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SEAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01072297A",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "46261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.