Individual provider Active NPI

Kelly Marie Miller, DO

  • Family Medicine Physician
  • Dublin, OH
National Provider Identifier
1285860510
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34010501 Issued in OH
Practice address
7450 Hospital Dr Ste 4500
Dublin, OH 43016-9693
Phone
(614) 788-0588
Fax
(614) 788-0587
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34010501 OH Primary

Addresses

Primary practice location

7450 Hospital Dr Ste 4500
Dublin, OH 43016-9693

Mailing address

7450 Hospital Dr Ste 4500
Dublin, OH 43016-9693
Phone (614) 788-0588

Other practice location 1

4191 Kelnor Dr Ste 300
Grove City, OH 43123-3990
Phone (614) 875-6349

Other identifiers 1

IdentifierTypeStateIssuer
0065182MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmiller7828@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20120615000338 OH Practitioner - Family Practice 4385808708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

393 E Town St
Columbus, OH 43215-4799

7450 Hospital Dr
Dublin, OH 43016-9642

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34010501OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 31, 2012 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 31, 2012 Accepting new patients
Ohiohealth Corporation Family Medicine Current Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

5350 Frantz Rd
Dublin, OH 43016

4191 Kelnor Dr
Ste 300
Grove City, OH 43123
Phone (614) 875-3592

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1285860510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 HOSPITAL DR STE 4500",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169693",
            "telephone_number": "614-788-0588",
            "fax_number": "614-788-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 HOSPITAL DR STE 4500",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169693",
            "telephone_number": "614-788-0588",
            "fax_number": "614-788-0587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4191 Kelnor Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431233990",
            "country_code": "US",
            "telephone_number": "614-875-6349",
            "fax_number": "614-875-3633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34010501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0065182",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmiller7828@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "7450 Hospital Dr Ste 4500",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430169693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.