Individual provider Active NPI

Amy Elizabeth Miller, MD

  • Pediatrics Physician
  • Englewood, OH
National Provider Identifier
1144752445
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.155758 Issued in OH
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0176913MedicaidOH
200096452MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230907001780 MO Practitioner - Pediatric Medicine 1658643036 Reassigns benefits to 2 organizations
I20260603001053 OH Practitioner - Pediatric MedicinePractitioner - Hospitalist 1658643036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Hospitalist
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

LicenseStateTypeSpecialty
2021013728MOMDPediatrics Physician
35.155758OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Anthonys Physician Organization Hospitalist Services, L.C. Hospitalist CurrentSince Jul 31, 2023 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 31, 2023 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 31, 2023 Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics PastSince Jan 14, 2024 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics PastSince Aug 27, 2023 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.

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

Verify at the official NPI Registry.