Individual provider Active NPI

Ashley J Miller, D.O.

  • Family Medicine Physician
  • Plymouth Meeting, PA
National Provider Identifier
1336464049
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015831 Issued in PA
Practice address
500 W Germantown Pike
Suite 1020
Plymouth Meeting, PA 19462-1353
Phone
(610) 941-4208
Fax
(610) 941-4158
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101024248 MI
Family Medicine Physician 207Q00000X H85838 MD
Family Medicine Physician 207Q00000X 295157 NY
Family Medicine Physician 207Q00000X 277254 MA
Family Medicine Physician 207Q00000X R9398 TX
Family Medicine Physician 207Q00000X OS015831 PA Primary

Addresses

Primary practice location

500 W Germantown Pike
Suite 1020
Plymouth Meeting, PA 19462-1353

Mailing address

1 W Elm St
Suite 100
Conshohocken, PA 19428-4108
Phone (610) 567-5265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120731000693 PA Practitioner - Family Practice 6204092547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Medical Group LLCGroup PAC ID 6204145642, 29 clinicians

Practice addresses (Care Compare)

2701 Dekalb Pike
2ND
East Norriton, PA 19401-1820
Phone (610) 275-1028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277254MAMDFamily Medicine Physician
H85838MDMDFamily Medicine Physician
5101024248MIMDFamily Medicine Physician
295157NYMDFamily Medicine Physician
OS015831PAMDFamily Medicine Physician
R9398TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Medical Group LLC Family Medicine CurrentSince Dec 9, 2022 Accepting new patients

Locations

190 W Germantown Pike
Ste 110
East Norriton, PA 19401
Phone (215) 257-5071

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

1437 DeKalb St
Ste 101
Norristown, PA 19401
Phone (610) 279-6621

500 W Germantown Pike
Ste 1020
Plymouth Meeting, PA 19462
Phone (610) 941-4208

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1336464049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W ELM ST",
            "address_2": "SUITE 100",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284108",
            "telephone_number": "610-567-5265",
            "fax_number": "610-567-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GERMANTOWN PIKE",
            "address_2": "SUITE 1020",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621353",
            "telephone_number": "610-941-4208",
            "fax_number": "610-941-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ASHLEY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101024248",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H85838",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "295157",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "277254",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.