Active NPI
Gregory Lance Miller, M.D.
- Cardiovascular Disease Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301064982
- Practice address
- 1000 E Paris Ave SE
Ste 200
Grand Rapids, MI 49546-3691 - Phone
- (616) 949-8554
- Fax
- (616) 949-6557
- NPI assigned
- Sep 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301064982 | MI | Primary |
Addresses
Primary practice location
1000 E Paris Ave SE
Ste 200
Grand Rapids, MI 49546-3691
Mailing address
1000 E Paris Ave SE
Ste 200
Grand Rapids, MI 49546-3691
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103155189 | Medicaid | MI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmiller21779@direct.trinity-health.org | Direct | |
| Direct Messaging Address | gmiller21779@direct.trinity-health.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Wayne State University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 E Paris Ave SE
Suite 200
Grand Rapids, MI 49546-8383
Phone (616) 685-3450
Hospital & facility affiliations
- Mercy Health Saint Mary'S
- Spectrum Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Current | Accepting new patients | |
| Saint Mary'S Health Services | Past | Accepting new patients | |
| Trinity Health - Michigan | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
1000 East Paris Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 685-3450
310 Lafayette Ave SE
Ste 301
Grand Rapids, MI 49503
Phone (616) 685-6900
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
245 State St SE
Ste 1A
Grand Rapids, MI 49503
Interoperability endpoints
- gmiller21779@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
-
- Clinic/Center
- Sparta, MI
- NPI 1760599906
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1902002272
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1306831185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "STE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE",
"address_2": "STE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463691",
"telephone_number": "616-949-8554",
"fax_number": "616-949-6557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GREGORY",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301064982",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103155189",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmiller21779@direct.trinity-health.org",
"affiliation": "N",
"endpointDescription": "Mercy Health Physician Partners",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1000 E Paris Ave SE",
"address_2": "STE 200",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495463691",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmiller21779@direct.trinity-health.org",
"affiliation": "N",
"endpointDescription": "Mercy Health Physician Partners Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1000 E Paris Ave SE",
"address_2": "STE 200",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495463691",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; 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.