Active NPI
Jenelle S Miller, MD
- Hematology & Oncology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 01059206
- Practice address
- 8301 Harcourt Rd
Suite 200
Indianapolis, IN 46260-2081 - Phone
- (317) 415-6600
- Fax
- (317) 415-6649
- NPI assigned
- Jul 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 01059206 | IN | |
| Hematology & Oncology Physician | 207RH0003X | 01059206 | IN | Primary |
Addresses
Primary practice location
8301 Harcourt Rd
Suite 200
Indianapolis, IN 46260-2081
Mailing address
PO Box 749495
Atlanta, GA 30374-9495
Phone (239) 432-8331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200497270 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Indiana University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1025 Michigan Ave
Suite 15
Logansport, IN 46947-1593
Phone (574) 753-9000
8301 Harcourt Rd
Suite 200
Indianapolis, IN 46260-2082
Phone (317) 415-6600
Hospital & facility affiliations
- Memorial Hospital
- Ascension St Vincent Hospital
- Ascension St Vincent Carmel
- Ascension St Vincent Fishers
- Indiana University Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01059206 | IN | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Oncology Partners PA | Hematology & Oncology | Current | Accepting new patients |
| Riverview Hospital | Current | Accepting new patients | |
| Riverview Hospital | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients |
Locations
9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200
8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040
8301 Harcourt Rd
Ste 200
Indianapolis, IN 46260
Phone (317) 415-6600
2505 N Lebanon St
Ste 125
Lebanon, IN 46052
Phone (765) 483-7333
1025 Michigan Ave
Ste 15
Logansport, IN 46947
Phone (574) 753-9000
1025 Michigan Ave
Logansport, IN 46947
Phone (574) 753-9000
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1942317656
-
- Family Medicine Physician
- Noblesville, IN
- NPI 1609074921
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
-
- General Acute Care Hospital
- Fishers, IN
- NPI 1881956167
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1639124134
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1306898960
-
- General Acute Care Hospital
- Avon, IN
- NPI 1851833230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672704000000",
"number": "1114926060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749495",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749495",
"telephone_number": "239-432-8331",
"fax_number": "813-321-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 HARCOURT RD",
"address_2": "SUITE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602081",
"telephone_number": "317-415-6600",
"fax_number": "317-415-6649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JENELLE",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2023-01-03",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01059206",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01059206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200497270",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.