Individual provider Active NPI

Stephen E Miller, D.O.

  • Urology Physician
  • Kokomo, IN
National Provider Identifier
1295990414
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
02004235 Issued in IN
Practice address
2312 S Dixon Rd Ste 240
Kokomo, IN 46902-6401
Phone
(765) 455-4075
Fax
(765) 455-4094
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 02004235 IN Primary

Addresses

Primary practice location

2312 S Dixon Rd Ste 240
Kokomo, IN 46902-6401

Mailing address

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 890-2000

Other identifiers 1

IdentifierTypeStateIssuer
1295990414OtherINNPI

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
I20131210000573 IN Practitioner - Urology 0042447427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology of Indiana LLCGroup PAC ID 7517870009, 79 clinicians

Practice addresses (Care Compare)

679 E County Line Rd
Greenwood, IN 46143-1049
Phone (317) 859-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
28.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
94.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02004235INMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kokomo Urology Inc. Urology CurrentSince Aug 1, 2013 Accepting new patients
Urology of Indiana, L.L.C. CurrentSince Nov 15, 2024 Accepting new patients
Urology of Indiana L.L.C. Urology CurrentSince Nov 15, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

11380 Illinois St
Carmel, IN 46032
Phone (317) 807-1262

679 E County Line Rd
Greenwood, IN 46143
Phone (317) 807-1262

1270 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 895-6095

2312 S Dixon Rd
Ste 240
Kokomo, IN 46902
Phone (765) 455-4075

2345 W Lincoln Rd
Kokomo, IN 46902
Phone (317) 457-4075

Interoperability endpoints

  • Direct secure messaging: stephen.miller@kokomourology.directbygreenway.com

Organizations & group practices 4

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1295990414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431049",
            "telephone_number": "317-890-2000",
            "fax_number": "765-455-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S DIXON RD STE 240",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026401",
            "telephone_number": "765-455-4075",
            "fax_number": "765-455-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "02004235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295990414",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.