Individual provider Active NPI

John P. Miller, M.D.

  • Ophthalmology Physician
  • Baltimore, MD
National Provider Identifier
1295765774
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0021078 Issued in MD
Practice address
9512 Harford Rd Ste 201
Baltimore, MD 21234-3125
Phone
(410) 661-4800
Fax
(410) 882-2133
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0021078 MD Primary

Addresses

Primary practice location

9512 Harford Rd Ste 201
Baltimore, MD 21234-3125

Mailing address

9512 Harford Rd Ste 201
Baltimore, MD 21234-3125
Phone (410) 661-4800

Other identifiers 4

IdentifierTypeStateIssuer
BL39OtherMDCAREFIRST
795951600MedicaidMD
P02598346OtherMDGBA RAILROAD MEDICARE
BL39OtherDCCAREFIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20141209000198 MD Practitioner - Ophthalmology 9335317569 Practice locations: Parkville, MD

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12326 Michaelsford Rd
Cockeysville, MD 21030-2247

9512 Harford Rd
Parkville, MD 21234-3100
Phone (410) 661-4800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0021078MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John P. Miller, M.D. Ophthalmology Past Accepting new patients

Organizations & group practices 1

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1295765774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343125",
            "telephone_number": "410-661-4800",
            "fax_number": "410-882-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9512 HARFORD RD STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212343125",
            "telephone_number": "410-661-4800",
            "fax_number": "410-882-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0021078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "BL39",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "795951600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GBA RAILROAD MEDICARE",
            "identifier": "P02598346",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "BL39",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.