Individual provider Active NPI

Sandra L Miller, MD

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1275509911
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-078131 Issued in OH
Practice address
2123 Auburn Ave
Suite 442
Cincinnati, OH 45219-2906
Phone
(513) 721-8272
Fax
(513) 721-0333
NPI assigned
Feb 23, 2006
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31135 KS
Surgery Physician 208600000X 35-078131 OH Primary
Surgical Critical Care Physician 2086S0102X 35-078131 OH

Addresses

Primary practice location

2123 Auburn Ave
Suite 442
Cincinnati, OH 45219-2906

Mailing address

237 William Howard Taft, Phys Div
2ND FL, Cbo2-3, Attn: Credentialing
Cincinnati, OH 45219-2906
Phone (513) 263-8571

Other identifiers 10

IdentifierTypeStateIssuer
200310530AMedicaidKS
5902567OtherOHAETNA
270577733067OtherOHCARESOURCE
P01239196OtherOHRAILROAD MEDICARE
2183051OtherOHMEDICAID
681757OtherOHWELLCARE
763200OtherOHANTHEM
1630469OtherOHGATEWAY HEALTH
200304120OtherINMEDICAID
H109180OtherOHMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smiller7260@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040907001233 OH Practitioner - General Surgery 6901872373 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-078131OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Specialists LLC Surgery CurrentSince May 21, 2012 Accepting new patients
Central Plains Cardiothoracic Surgery, LLC Past Accepting new patients
Kansas Surgical Consultants, LLP Surgery PastSince Jun 1, 1992 Accepting new patients
West Chester Hospital LLC Past Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients

Locations

2123 Auburn Ave
Cincinnati, OH 45219
Phone (513) 721-7373

2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400

2123 Auburn Ave
Ste 442
Cincinnati, OH 45219
Phone (513) 271-8272

237 William Howard Taft Rd
#002
Cincinnati, OH 45219
Phone (513) 263-8571

7545 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 564-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1275509911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT, PHYS DIV",
            "address_2": "2ND FL, CBO2-3, ATTN: CREDENTIALING",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-263-8571",
            "fax_number": "513-366-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 442",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-721-8272",
            "fax_number": "513-721-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SANDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "31135",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-078131",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OH",
            "license": "35-078131",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200310530A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5902567",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "270577733067",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01239196",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "2183051",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "681757",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "763200",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH",
            "identifier": "1630469",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200304120",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H109180",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smiller7260@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2123 Auburn Ave",
            "address_2": "Suite 442",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452192906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.