Individual provider Active NPI

Ryan Thomas Miller, M.D.

  • Urology Physician
  • Independence, MO
National Provider Identifier
1205035284
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2009001614 Issued in MO
Practice address
19001 E 48TH St. S
Independence, MO 64055
Phone
(314) 520-2291
Fax
(816) 795-0144
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 2009001614 MO Primary

Addresses

Primary practice location

19001 E 48TH St. S
Independence, MO 64055

Mailing address

19001 E 48TH St S
Independence, MO 64055-6964
Phone (314) 520-2291

Other identifiers 1

IdentifierTypeStateIssuer
1205035284MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090925000311 MO Practitioner - Urology 3375699796 Reassigns benefits to 1 organization
I20200416002103 KS Practitioner - Urology 3375699796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Urologic Associates IncGroup PAC ID 7618133778, 14 clinicians

Practice addresses (Care Compare)

100 NE Saint Lukes Blvd
Saint Luke'S East Hospital
Lees Summit, MO 64086-6000
Phone (816) 251-5100

110 NE Saint Lukes Blvd
Suite 255
Lees Summit, MO 64086-6000
Phone (816) 251-5100

120 NE Saint Lukes Blvd
Saint Luke'S Surgicenter
Lees Summit, MO 64086-6000
Phone (816) 251-5100

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (816) 251-5100

12330 Metcalf Ave
Suite 500a
Overland Park, KS 66213-1313
Phone (816) 251-5100

19001 E 48TH St S
Independence, MO 64055-6964
Phone (816) 251-5100

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • Golden Valley Memorial Hospital Hospital, Clinton, MO, CCN 260175

Merit-based Incentive Payment System (MIPS)

Final score
86.88 of 100Reported as group
Quality
85.13
Promoting interoperability
100
Improvement activities
40
Cost
71.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urologic Associates, Inc Urology CurrentSince Jun 1, 2013 Accepting new patients

Locations

12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

19001 E 48th St S
Independence, MO 64055
Phone (816) 836-6875

17525 Medical Center Pkwy
Independence, MO 64057
Phone (816) 836-6875

901 E 104th St
#400S
Kansas City, MO 64131
Phone (816) 502-7117

Interoperability endpoints

  • Direct secure messaging: ryanmiller@auai.allscriptsdirect.net

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.

Hospital & facility affiliations 7

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": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1205035284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 E 48TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556964",
            "telephone_number": "314-520-2291",
            "fax_number": "816-795-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 E 48TH ST. S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64055",
            "telephone_number": "314-520-2291",
            "fax_number": "816-795-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2009001614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205035284",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.