NPIMap

Individual provider Active NPI

Kimberly A Miller, D.O.

  • Hospitalist Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1225045677
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
34007768 Issued in OH
Practice address
1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone
(330) 929-2685
Fax
(330) 929-2687
NPI assigned
Aug 1, 2006
Last updated
May 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34007768M OH
Hospitalist Physician 208M00000X 34007768 OH Primary

Addresses

Primary practice location

1900 23Rd St
Cuyahoga Falls, OH 44223-1404

Mailing address

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 929-2685

Other identifiers 1

IdentifierTypeStateIssuer
2415569MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040706000717 OH Practitioner - Internal Medicine 6103803366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 929-2685

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.67 of 100Reported as group
Quality
77.19
Promoting interoperability
100
Improvement activities
40
Cost
78.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007768MOHMDInternal Medicine Physician
34007768OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Network, LLC CurrentSince Dec 1, 2009 Accepting new patients
Unity Health Network, LLC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients
Traveling Nurse Practitioner, LLC CurrentSince Mar 1, 2016 Accepting new patients
The Retina Group of Northeast Ohio Inc Past Accepting new patients
Tallmadge Healthcare Group, LLC Past Accepting new patients
Ohio Living Communities Past Accepting new patients
Heather Knoll Retirement Village Inc Past Accepting new patients
Kent Management Group Inc Internal Medicine Past Accepting new patients
Rose Lane Health and Rehabilitation Inc. Past Accepting new patients
Western Reserve Hospital, LLC Past Accepting new patients
Continuing Healthcare of Cuyahoga Falls, LLC Past Accepting new patients
Falls Village Retirement Community LTD Past Accepting new patients
Green Village Skilled Nursing & Rehabilitation, LTD. Past Accepting new patients

Locations

880 Mull Ave
Ste 200
Akron, OH 44313
Phone (330) 590-0847

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

Interoperability endpoints

  • Direct secure messaging: kimberly.miller@wrhs.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Huntington National BankTallmadge, OH, CCN 365739 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2021
Jun 1, 2021
Rose Lane Nursing and RehabilitationMassillion, OH, CCN 365289 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2025
Mar 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 11

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1225045677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-929-2685",
            "fax_number": "330-929-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 23RD ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231404",
            "telephone_number": "330-929-2685",
            "fax_number": "330-929-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34007768M",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "34007768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2415569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.