Active NPI
Amy Elizabeth Miller, MD
- Pediatrics Physician
- Englewood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.155758
- Practice address
- 9000 N Main St Ste 332
Englewood, OH 45415-1185 - Phone
- (937) 832-7337
- Fax
- (937) 832-4817
- NPI assigned
- Mar 28, 2017
- Last updated
- Jun 11, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2021013728 | MO | |
| Pediatrics Physician | 208000000X | 35.155758 | OH | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 2021013728 | MO | |
| Hospitalist Physician | 208M00000X | 2021013728 | MO |
Addresses
Primary practice location
9000 N Main St Ste 332
Englewood, OH 45415-1185
Mailing address
PO Box 933432
Cleveland, OH 44193-0039
Phone (937) 641-3555
Other practice location 1
1425 N Fairfield Rd Ste 130
Beavercreek, OH 45432-2674
Phone (937) 320-1950
Other practice location 2
5501 Far Hills Ave Ste 200
Dayton, OH 45429-2203
Phone (937) 436-2866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0176913 | Medicaid | OH | |
| 200096452 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Toledo College of Medicine, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Cleeveland, OH 44193
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021013728 | MO | MD | Pediatrics Physician |
| 35.155758 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthonys Physician Organization Hospitalist Services, L.C. | Hospitalist | Current | Accepting new patients |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Dayton Children's Specialty Physicians, Inc. | Pediatrics | Past | Accepting new patients |
| Mercy Hospitals East Communities | Past | Accepting new patients | |
| Dayton Children's Specialty Physicians, Inc. | Pediatrics | Past | Accepting new patients |
Locations
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Clinic South Hospitalists
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
-
- Pediatrics Physician
- Dayton, OH
- NPI 1225192610
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Pediatrics Physician
- Dayton, OH
- NPI 1780467555
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1144752445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 933432",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930039",
"telephone_number": "937-641-3555",
"fax_number": "937-641-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 N MAIN ST STE 332",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "454151185",
"telephone_number": "937-832-7337",
"fax_number": "937-832-4817"
}
],
"practiceLocations": [
{
"address_1": "1425 N Fairfield Rd Ste 130",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454322674",
"country_code": "US",
"telephone_number": "937-320-1950",
"fax_number": "937-320-9332",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Far Hills Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454292203",
"country_code": "US",
"telephone_number": "937-436-2866",
"fax_number": "937-436-1468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2021013728",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.155758",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "MO",
"license": "2021013728",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2021013728",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0176913",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200096452",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.