Individual provider Active NPI

Jared A Miller, MD

  • Pediatrics Physician
  • Noblesville, IN
National Provider Identifier
1275876310
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01079512A Issued in IN
Practice address
865 Westfield Rd Ste B
Noblesville, IN 46062-8938
Phone
(317) 776-0880
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01079512A IN Primary
Pediatric Sports Medicine Physician 2080S0010X 01079512A IN

Addresses

Primary practice location

865 Westfield Rd Ste B
Noblesville, IN 46062-8938

Mailing address

865 Westfield Rd Ste B
Noblesville, IN 46062-8938

Other practice location 1

2130 W Sycamore St Ste 260
Kokomo, IN 46901-6460
Phone (765) 236-8457

Other practice location 2

138 N Dixon Rd
Kokomo, IN 46901-4154
Phone (765) 236-8282

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jared.miller.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
I20171226000927 IN Practitioner - Pediatric MedicinePractitioner - Sports Medicine 5193026003 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jared.miller.1@7598.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1275876310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 WESTFIELD RD STE B",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 WESTFIELD RD STE B",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460628938",
            "telephone_number": "317-776-0880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 W Sycamore St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469016460",
            "country_code": "US",
            "telephone_number": "765-236-8457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 N Dixon Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469014154",
            "country_code": "US",
            "telephone_number": "765-236-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JARED",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01079512A",
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "IN",
            "license": "01079512A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jared.miller.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "138 N Dixon Rd",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469014154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.