Individual provider Active NPI

Jeffrey Adam Miller, D.O.

  • Orthopaedic Surgery Physician
  • New London, CT
National Provider Identifier
1184692162
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
000371 Issued in CT
Practice address
6 Shaws CV
Suite 101
New London, CT 06320-4969
Phone
(860) 444-9022
Fax
(860) 444-7768
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 000371 CT Primary

Addresses

Primary practice location

6 Shaws CV
Suite 101
New London, CT 06320-4969

Mailing address

6 Shaws CV
Suite 101
New London, CT 06320-4969
Phone (860) 444-9022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20031229000637 CT Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8224936273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6 Shaws CV
Suite 101
New London, CT 06320-4969

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000371CTMDProfessional Counselor
371CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Therapy Network, PC PastSince Oct 1, 2003 Accepting new patients
Connecticut Hand Center, PC PastSince Jul 1, 2016 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmiller329657@direct.ynhh.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1184692162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHAWS CV",
            "address_2": "SUITE 101",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204969",
            "telephone_number": "860-444-9022",
            "fax_number": "860-444-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHAWS CV",
            "address_2": "SUITE 101",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204969",
            "telephone_number": "860-444-9022",
            "fax_number": "860-444-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "000371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.