Individual provider Active NPI

Justin Wayne Miller, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Carmel, IN
National Provider Identifier
1275791469
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
01065478A Issued in IN
Practice address
13225 N Meridian St
Carmel, IN 46032-5480
Phone
(317) 228-7000
Fax
(317) 228-2321
NPI assigned
May 25, 2008
Last updated
May 31, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 01065478A IN Primary

Addresses

Primary practice location

13225 N Meridian St
Carmel, IN 46032-5480

Mailing address

13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000

Other identifiers 2

IdentifierTypeStateIssuer
000000721077OtherINANTHEM
9072700OtherINAETNA

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
I20110812000232 IN Practitioner - Orthopedic Surgery 0749305126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Spine Group, PCGroup PAC ID 4082502349, 49 clinicians

Practice addresses (Care Compare)

13225 N Meridian St
Carmel, IN 46032-5480
Phone (317) 228-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.2 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
84.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion103
Laminectomy or laminotomy (partial removal of spine bones)92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065478AINMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Spine Group, PC Orthopaedic Surgery of the Spine Current Accepting new patients
Indiana Spine Group, PC Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2011 Accepting new patients
Indiana Spine Group, PC Orthopaedic Surgery of the Spine CurrentSince Sep 1, 2011 Accepting new patients
Major Hospital Past Accepting new patients
U.S. Medgroup, P.a. Past Accepting new patients

Locations

5492 N Ronald Reagan Pkwy
#1135
Brownsburg, IN 46112

5492 N Ronald Reagan Pkwy
Ste 1135
Brownsburg, IN 46112
Phone (317) 275-1967

13225 N Meridian St
Carmel, IN 46032
Phone (317) 715-4863

112 Hospital Ln
Ste 301
Danville, IN 46122
Phone (317) 718-9028

747 E County Line Rd
Ste L
Greenwood, IN 46143
Phone (317) 893-1960

6920 Gatwick Dr
Ste 220
Indianapolis, IN 46241
Phone (317) 463-9950

821 N Dixon Rd
Kokomo, IN 46901
Phone (765) 450-0111

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1211673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1275791469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325480",
            "telephone_number": "317-228-7000",
            "fax_number": "317-228-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JUSTIN",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-25",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IN",
            "license": "01065478A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000721077",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9072700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.