Active NPI
Michael S. Miller DO, Facos, CWS, PC
- Surgery Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MICHAEL S. MILLER DO, FACOS, CWS, PC
- Practice address
- 3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693 - Phone
- (317) 429-0061
- Fax
- (317) 222-1953
- NPI assigned
- Feb 22, 2007
- Last updated
- Mar 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Seth Miller, DO
- Title
- Owner
- Phone
- (317) 429-0061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 02001905 | IN | |
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693
Mailing address
3850 Shore Dr Ste 315
Indianapolis, IN 46254-4693
Phone (317) 491-0061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200044490A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2075377 | Michael S Miller, DO, Fiacos, CWS, PC | Certificate of waiver | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
3850 Shore Dr
Indianapolis, IN 46254
Phone (317) 529-0061
3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061
8355 Rockville Rd
#120
Indianapolis, IN 46234
8355 Rockville Rd
Ste 120
Indianapolis, IN 46234
Phone (317) 213-5134
141 N Main St
Linton, IN 47441
Phone (812) 847-2141
Practitioners & affiliated clinicians
Practitioners 40
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Indianapolis, IN
- NPI 1730122268
-
- Clinical Social Worker
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- NPI 1730141441
-
- Adult Health Nurse Practitioner
- Indianapolis, IN
- NPI 1841475852
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1285785584
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1174934780
-
- General Practice Physician
- Indianapolis, IN
- NPI 1801836069
-
- Podiatrist
- Bloomington, IN
- NPI 1154388460
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1154508075
-
- Family Nurse Practitioner
- Terre Haute, IN
- NPI 1720119589
-
- Clinical Social Worker
- Indianapolis, IN
- NPI 1548321300
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1316967011
-
- Podiatrist
- Indianapolis, IN
- NPI 1194064675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677974400000",
"number": "1316072242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 SHORE DR STE 315",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544693",
"telephone_number": "317-491-0061",
"fax_number": "317-222-1953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 SHORE DR STE 315",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462544693",
"telephone_number": "317-429-0061",
"fax_number": "317-222-1953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL S. MILLER DO, FACOS, CWS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2023-03-05",
"certification_date": "2023-03-05",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-429-0061",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "02001905",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200044490A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.