Individual provider Active NPI

Judd Miller

  • Internal Medicine Physician
  • Okemah, OK
National Provider Identifier
1235628918
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6708 Issued in OK
Practice address
1800 E Coplin St
Okemah, OK 74859-4642
Phone
(918) 623-1424
NPI assigned
May 8, 2018
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 6708 OK Primary
Hospitalist Physician 208M00000X 6708 OK

Addresses

Primary practice location

1800 E Coplin St
Okemah, OK 74859-4642

Mailing address

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 888-5211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20210616003142 OK Practitioner - Hospitalist 8628478369 Reassigns benefits to 4 organizations
I20220806000512 TX Practitioner - Internal MedicinePractitioner - Hospitalist 8628478369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Oklahoma State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Creek Nation Hospital and ClinicsGroup PAC ID 5698786226, 364 clinicians
Tulsa Hospital Medicine Physicians Group, LLCGroup PAC ID 7214327832, 132 clinicians

Practice addresses (Care Compare)

10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333

1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424

2401 W Main St
Hillcrest Hospital Henryetta
Henryetta, OK 74437-3893
Phone (918) 650-1100

31870
Suite 51
Coweta, OK 74429
Phone (918) 279-3200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jul 1, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince May 1, 2022 Accepting new patients
Tulsa Hospital Medicine Physicians Group, LLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics Internal Medicine Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 27, 2022 Accepting new patients
Oklahoma Infectious Disease Specialists, LLC CurrentSince Nov 1, 2025 Accepting new patients
Cherokee Nation CurrentSince Jul 1, 2022 Accepting new patients
Ahs Henryetta Hospital LLC CurrentSince Jul 1, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Ahs Henryetta Hospital LLC CurrentSince Jul 1, 2021 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Apr 27, 2022 Accepting new patients
Creek Nation Hospital and Clinics Past Accepting new patients
Creek Nation Hospital and Clinics Board Past Accepting new patients
Creek Nation Hospital and Clinics Past Accepting new patients

Locations

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

19600 E Ross St
Tahlequah, OK 74464
Phone (539) 234-1000

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

Dept 1038
Tulsa, OK 74182

Dept 1467
Tulsa, OK 74182

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: jmiller348883@ahs.direct-ci.com

Organizations & group practices 16

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 16

Hospital & facility affiliations 5

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1235628918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10109 E 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334564",
            "telephone_number": "918-888-5211",
            "fax_number": "918-888-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E COPLIN ST",
            "city": "OKEMAH",
            "state": "OK",
            "postal_code": "748594642",
            "telephone_number": "918-623-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JUDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "6708",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "6708",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemah, OK

Sources for this page

Verify at the official NPI Registry.