Kenneth Miller MD LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

KENNETH MILLER MD LLC

Practice address

2500 W Rogers Ave
Baltimore, MD 21215-4131

Phone

(443) 240-1682

Fax

(855) 588-5951

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tara L Lallier, CHONC

Title

Credentialing/Coding Manager

Phone

(321) 362-5128

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth David Miller, MD

  • Hematology & Oncology Physician
  • Baltimore, MD
  • NPI 1861480535
  Medicare reassignment

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1114233012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W ROGERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154131",
            "telephone_number": "443-240-1682",
            "fax_number": "855-588-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W ROGERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154131",
            "telephone_number": "443-240-1682",
            "fax_number": "855-588-5951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2411 W Belvedere Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212155228",
            "country_code": "US",
            "telephone_number": "443-240-1682",
            "fax_number": "855-588-5951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENNETH MILLER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "LALLIER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING/CODING MANAGER",
        "authorized_official_telephone_number": "321-362-5128",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CHONC"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220065100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445791900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Ann Kennell, PA-C
• Nicholas Andrew Kenner
• Kenneth M. Greene, M.D. & Associates
• Kenneth Margolis MD Ambulatory Endoscopy Surgical Center
• Kenneth Margolis, M.D.,P.a.
• Kenneth R Lippman MD PA
• Kenneth R. Lindyberg MD, PC
• Martha Obeng Kenney, MD
• James Kenniff
• Brittany Ann Kenny, CRNP

• Hematology & Oncology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Hematology & Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.