Individual provider Active NPI

Kay T. Miller, M.D.

  • Radiation Oncology Physician
  • Clarkston, MI
National Provider Identifier
1104890623
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301058072 Issued in MI
Practice address
6770 Dixie Hwy
Suite #106
Clarkston, MI 48346-2087
Phone
(248) 625-0300
Fax
(248) 625-0363
NPI assigned
Feb 13, 2006
Last updated
Oct 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301058072 MI Primary

Addresses

Primary practice location

6770 Dixie Hwy
Suite #106
Clarkston, MI 48346-2087

Mailing address

2234 Colonial Blvd
Managed Care Dept
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 5

IdentifierTypeStateIssuer
102299OtherMIGREAT LAKES HEALTH PLAN - XRAY
102307OtherMIGREAT LAKES HEALTH PLAN - AOAM
4253925MedicaidMI
4192919MedicaidMI
115615OtherMICARE CHOICES HMO PROV. #

Other names 1

  • Dr. Kay Suzanne Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100202000324 MI Practitioner - Radiation Oncology 8628111416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of New Mexico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Oncologic Associates of Michigan PCGroup PAC ID 3577558980, 9 clinicians

Practice addresses (Care Compare)

29992 Northwestern Hwy
Suite C
Farmington Hills, MI 48334-3292

70 Fulton St
Pontiac, MI 48341-2755
Phone (248) 338-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301058072MIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncologic Associates of Michigan, PC Radiation Oncology CurrentSince Sep 1, 2000 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2012 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2012 Accepting new patients
Miro-Clarkston Radiation Oncology Past Accepting new patients
X-Ray Treatment Center, P.C. Radiation Oncology Past Accepting new patients
Miro-Madison Heights Radiation Oncology Past Accepting new patients
X-Ray Treatment Center Radiation Oncology Past Accepting new patients

Locations

6770 Dixie Hwy
Ste 106
Clarkston, MI 48346
Phone (248) 625-0300

13530 Michigan Ave
Ste 280
Dearborn, MI 48126
Phone (313) 476-3940

6071 W Outer Dr
Detroit, MI 48235
Phone (313) 966-3300

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

17435 Hall Rd
Macomb, MI 48044
Phone (586) 228-0299

30365 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 589-5000

1085 N Macomb St
Monroe, MI 48162
Phone (734) 241-1900

70 Fulton St
Pontiac, MI 48341
Phone (248) 338-0300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

18325 E 10 Mile Rd
Roseville, MI 48066
Phone (586) 447-4000

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

Interoperability endpoints

  • Direct secure messaging: kay.miller@directaddress.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 2

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254441600000",
    "number": "1104890623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "MANAGED CARE DEPT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY",
            "address_2": "SUITE #106",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462087",
            "telephone_number": "248-625-0300",
            "fax_number": "248-625-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAY",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2009-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301058072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN - XRAY",
            "identifier": "102299",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HEALTH PLAN - AOAM",
            "identifier": "102307",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4253925",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4192919",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES HMO PROV. #",
            "identifier": "115615",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "TAYLOR",
            "middle_name": "SUZANNE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.