Individual provider Active NPI

Michael J Miller, M.D.

  • Radiation Oncology Physician
  • Newburgh, IN
National Provider Identifier
1225001688
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
01036989 Issued in IN
Practice address
3699 Epworth Rd
Newburgh, IN 47630-8909
Phone
(812) 471-1200
Fax
(812) 475-6700
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 01036989 IN Primary

Addresses

Primary practice location

3699 Epworth Rd
Newburgh, IN 47630-8909

Mailing address

PO Box 3089
Evansville, IN 47730-3089
Phone (812) 471-1200

Other identifiers 2

IdentifierTypeStateIssuer
01MedicaidIL
20044480BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100903000251 IN Practitioner - Radiation Oncology 1850397225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3699 Epworth Rd
Newburgh, IN 47630-8909
Phone (812) 471-1200

3700 Washington Ave
Evansville, IN 47714-0541

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01036989INMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, LLC CurrentSince Jan 1, 2019 Accepting new patients
St. Mary'S Health, Inc Radiation Oncology CurrentSince Jun 9, 2025 Accepting new patients
St Mary'S Medical Group, LLC CurrentSince Jan 1, 2019 Accepting new patients
St. Mary'S Health, Inc Current Accepting new patients

Locations

5927 Reliable Pkwy
Chicago, IL 60686

3801 Bellemeade Ave
Ste 100
Evansville, IN 47714
Phone (812) 450-7104

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

3699 Epworth Rd
Newburgh, IN 47630
Phone (812) 471-1200

Organizations & group practices 4

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 4

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1225001688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3089",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477303089",
            "telephone_number": "812-471-1200",
            "fax_number": "812-475-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 EPWORTH RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308909",
            "telephone_number": "812-471-1200",
            "fax_number": "812-475-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01036989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20044480B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.