Individual provider Active NPI

Marilyn Diane Miller, M.D.

  • Plastic Surgery Physician
  • Westminster, MD
National Provider Identifier
1154324648
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D18404 Issued in MD
Practice address
295 Stoner Ave
Ste 205
Westminster, MD 21157-5637
Phone
(410) 876-3380
Fax
(410) 876-5195
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X D18404 MD Primary
Plastic Surgery Physician 208200000X D0018404 MD

Addresses

Primary practice location

295 Stoner Ave
Ste 205
Westminster, MD 21157-5637

Mailing address

295 Stoner Ave
Ste 205
Westminster, MD 21157-5637
Phone (410) 876-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120208000632 MD Practitioner - Plastic and Reconstructive Surgery 4789841495 Practice locations: Eldersburg, MD; Westminster, MD

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Johns Hopkins University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1380 Progress Way
Suite 114
Eldersburg, MD 21784-6499
Phone (410) 876-3380

295 Stoner Ave
Suite 205
Westminster, MD 21157-5629
Phone (410) 876-3380

295 Stoner Ave
Suite 205
Westminster, MD 21157-5637

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision450
Removal of tissue1-10
Removal of skin lesions100
Removal or shaving of skin growth1-10
Skin biopsy92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0018404MDMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marilyn.miller@1185.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1154324648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 STONER AVE",
            "address_2": "STE 205",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575637",
            "telephone_number": "410-876-3380",
            "fax_number": "410-876-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 STONER AVE",
            "address_2": "STE 205",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575637",
            "telephone_number": "410-876-3380",
            "fax_number": "410-876-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARILYN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D18404",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0018404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.