Individual provider Active NPI

David Warren Miller, M.D., L.AC.

  • Pediatrics Physician
  • Warrensville Heights, OH
National Provider Identifier
1174714844
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036100091 Issued in IL
Practice address
25001 Emery Rd Ste 100
Warrensville Heights, OH 44128-5627
Phone
(773) 960-8901
Fax
(866) 259-4969
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198-000602 IL
General Practice Physician 208D00000X 036-100091 IL
Pediatrics Physician 208000000X 036100091 IL Primary

Addresses

Primary practice location

25001 Emery Rd Ste 100
Warrensville Heights, OH 44128-5627

Mailing address

25001 Emery Rd BLDG 25
Warrensville Heights, OH 44128-5626
Phone (773) 960-8901

Other practice location 1

4361 N Lincoln Ave Unit 5
Chicago, IL 60618-2186
Phone (773) 960-8901

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address davidmiller@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220701001344 OH Practitioner - Pediatric Medicine 0547640963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198-000602ILMDAcupuncturist
036100091ILMDPediatrics Physician
036-100091ILMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Pediatrics CurrentSince May 1, 2022 Accepting new patients
University Primary Care Practices Inc CurrentSince May 1, 2022 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Medical Group Inc Pediatrics Past Accepting new patients
University Primary Care Practices Pediatrics Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: dmiller35870@ehrdirect.uhhospitals.org

Organizations & group practices 5

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1174714844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25001 EMERY RD BLDG 25",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285626",
            "telephone_number": "773-960-8901",
            "fax_number": "866-259-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25001 EMERY RD STE 100",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285627",
            "telephone_number": "773-960-8901",
            "fax_number": "866-259-4969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4361 N Lincoln Ave Unit 5",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606182186",
            "country_code": "US",
            "telephone_number": "773-960-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "M.D., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198-000602",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036-100091",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036100091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "davidmiller@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "25001 Emery Rd Ste 100",
            "city": "Warrensville Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441285627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.