Individual provider Active NPI

Kenlyn Shawn Miller, M.D.

  • Ophthalmology Physician
  • Harrisonburg, VA
National Provider Identifier
1316033319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101057573 Issued in VA
Practice address
1921 Medical Ave
Harrisonburg, VA 22801-3437
Phone
(540) 433-2485
Fax
(540) 433-2010
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0101057573 VA Primary

Addresses

Primary practice location

1921 Medical Ave
Harrisonburg, VA 22801-3437

Mailing address

1921 Medical Ave
Harrisonburg, VA 22801-3437
Phone (540) 433-2485

Other identifiers 1

IdentifierTypeStateIssuer
6302297MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100820000930 VA Practitioner - Ophthalmology 6507990900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northeastern Ohio University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockingham Eye Physicians and Associates PCGroup PAC ID 0648207027, 9 clinicians

Practice addresses (Care Compare)

1690 A Spring Port Dr
Rockingham, VA 22801-3437
Phone (540) 433-2485

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery665
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockingham Eye Physicians & Associates, P.C. Ophthalmology CurrentSince Mar 1, 2001 Accepting new patients
Eye Physicians Optical Center Past Accepting new patients
Rockingham Eye Surgery Center, LLC PastSince Jul 1, 2021 Accepting new patients

Locations

1921 Medical Ave
Harrisonburg, VA 22801
Phone (540) 433-2485

1690A Spring Port Dr
Rockingham, VA 22801
Phone (540) 433-2485

1690 Spring Port Dr
Rockingham, VA 22801

Interoperability endpoints

  • Direct secure messaging: kmiller@rockinghameye.ecldirect.net

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 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316033319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 MEDICAL AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013437",
            "telephone_number": "540-433-2485",
            "fax_number": "540-433-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 MEDICAL AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013437",
            "telephone_number": "540-433-2485",
            "fax_number": "540-433-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENLYN",
        "middle_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101057573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6302297",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.