Active NPI
Marilyn Diane Miller, M.D.
- Plastic Surgery Physician
- Westminster, MD
National Provider Identifier
1154324648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- D18404
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 450 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 100 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 92 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0018404 | MD | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.