NPIMap

Individual provider Active NPI

Misha D Miller, MD

  • MOHS-Micrographic Surgery Physician
  • Denver, CO
National Provider Identifier
1194802371
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
42659 Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4507
Phone
(303) 436-6000
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 42659 CO
Obstetrics & Gynecology Physician 207V00000X 42659 CO
MOHS-Micrographic Surgery Physician 207ND0101X 42659 CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4507

Mailing address

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

Other practice location 1

1665 Aurora Ct Rm 3004
Aurora, CO 80045-2517
Phone (720) 848-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000196 CO Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - DermatologyPractitioner - Obstetrics/Gynecology 5496714487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology, Obstetrics/Gynecology
Education
Mayo Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians IncorporatedGroup PAC ID 3476465667, 3,189 clinicians

Practice addresses (Care Compare)

13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234

1390 S Potomac St
Suite 124
Aurora, CO 80012-4529
Phone (303) 368-8611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision117
Removal of tissue1-10
Removal of skin lesions148
Removal of skin cancer553
Removal of nail tissue1-10
Removal or shaving of skin growth32
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42659COMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians Incorporated Dermatology CurrentSince Aug 1, 2014 Accepting new patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology Current Accepting new patients
University Physicians, Incorporated CurrentSince Aug 1, 2014 Accepting new patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince May 2, 2022 Accepting new patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince May 2, 2022 Accepting new patients
University Physicians, Incorporated Past Accepting new patients

Locations

13199 E Montview Blvd
Ste 300
Aurora, CO 80045

1635 Aurora Ct
Fl 3
Aurora, CO 80045
Phone (720) 848-1060

1665 Aurora Ct
Rm 8127
Aurora, CO 80045

13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846

12605 E 16th Ave
Aurora, CO 80045
Phone (720) 848-0006

1665 Aurora Ct
Rm 3004
Aurora, CO 80045
Phone (720) 848-0500

3464 S Willow St
Ste 194
Denver, CO 80231

Dept 1061
Denver, CO 80256

100 Cook St
Ste 306
Denver, CO 80206
Phone (720) 516-9405

100 Cook St
Ste 500
Denver, CO 80206
Phone (720) 516-9373

4500 E 9th Ave
Ste 200
Denver, CO 80220
Phone (303) 399-0055

1390 S Potomac St
Ste 124
Denver, CO 80012
Phone (303) 368-8611

12645 E Euclid Dr
Englewood, CO 80111
Phone (303) 368-8611

Interoperability endpoints

  • Direct secure messaging: mmiller@advaderm.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1194802371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044507",
            "telephone_number": "303-436-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Aurora Ct Rm 3004",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452517",
            "country_code": "US",
            "telephone_number": "720-848-0540",
            "fax_number": "720-848-0530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MISHA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "42659",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "42659",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "42659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.