Active NPI
Keith A Miller, M.D.
- Cardiovascular Disease Physician
- Lincoln, NE
National Provider Identifier
1295849602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 22421
- Practice address
- 1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275 - Phone
- (402) 483-3333
- Fax
- (402) 483-3297
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 22421 | NE | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 2956 | NE |
Addresses
Primary practice location
1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275
Mailing address
1600 S 48TH St
Suite 600
Lincoln, NE 68506-1275
Phone (402) 483-3333
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200255120 A | Medicaid | KS | |
| 0563866 | Medicaid | IA | |
| 208742205 | Medicaid | MO | |
| 47084496100 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of Nebraska College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S 48TH St
600 Bryan Heart
Lincoln, NE 68506-1275
Phone (402) 483-3333
Hospital & facility affiliations
- Bryan Medical Center
- Community Hospital
- Crete Area Medical Center
- Thayer County Health Services
- Brodstone Healthcare
- Madonna Rehabilitation Hospital Lincoln
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2956 | NE | MD | Mental Health Counselor |
| 22421 | NE | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Cardiology Group LLC | Cardiovascular Disease | Current | Accepting new patients |
| Bryan Medical Center | Past | Accepting new patients |
Locations
715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036
715 N Saint Joseph Ave
#209
Hastings, NE 68901
1600 S 48th St
Ste 600
Lincoln, NE 68506
Phone (402) 416-9327
Interoperability endpoints
- kmiller10772@hisp.bryanhealth.org
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.
-
- Cardiovascular Disease Physician
- Lincoln, NE
- NPI 1982653515
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Superior, NE
- NPI 1306842604
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
- Critical Access Hospital
- McCook, NE
- NPI 1841204500
-
- Critical Access Hospital
- Crete, NE
- NPI 1063463958
-
- Rehabilitation Hospital
- Lincoln, NE
- NPI 1558458091
Inpatient rehabilitation facility
-
- Critical Access Hospital
- Hebron, NE
- NPI 1326029984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320969600000",
"number": "1295849602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 S 48TH ST",
"address_2": "SUITE 600",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061275",
"telephone_number": "402-483-3333",
"fax_number": "402-483-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 S 48TH ST",
"address_2": "SUITE 600",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685061275",
"telephone_number": "402-483-3333",
"fax_number": "402-483-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KEITH",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2011-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NE",
"license": "22421",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NE",
"license": "2956",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200255120 A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0563866",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208742205",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47084496100",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.