Individual provider Active NPI

Thomas William Miller, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Noblesville, IN
National Provider Identifier
1386725638
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
01033800A Issued in IN
Practice address
205 Noble Creek Dr
Noblesville, IN 46060-3117
Phone
(317) 773-8483
Fax
(317) 776-0442
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01033800A IN Primary

Addresses

Primary practice location

205 Noble Creek Dr
Noblesville, IN 46060-3117

Mailing address

PO Box 775985
Chicago, IL 60677-5985
Phone (317) 770-6900

Other identifiers 2

IdentifierTypeStateIssuer
100238140AMedicaidIN
000000086709OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmiller791505@DirectC.mercy.net Direct

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
I20120110000691 IN Practitioner - Internal Medicine 6204002470 Reassigns benefits to 1 organization
Practice locations: Noblesville, IN

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

205 Noble Creek Dr
Riverview Health Physicians Prmry Care Nobl
Noblesville, IN 46060-3117
Phone (317) 773-8483

395 Westerfield Rd
Noblesville, IN 46060-1425

395 Westfield Dr
Noblesville, IN 46060-1425

395 Westfield FR
RM 2419
Noblesville, IN 46060-1425
Phone (317) 776-7157

395 Westfield Rd B
OB/GYN Specialists of Indiana
Noblesville, IN 46060-1425
Phone (317) 776-9440

395 Westfield Rd D
Noblesville Diabetic and Endocrinolog
Noblesville, IN 46060-1425
Phone (317) 776-3520

395 Westfield Rd RM
Noblesville, IN 46060-1425

587 A Westfield Rd
Riverview Health Care Coordination Services
Noblesville, IN 46060-1321
Phone (317) 770-3773

Hospital & facility affiliations

  • Suburban Home Health LLC Home health agency, Noblesville, IN, CCN 157092
  • Riverview Health Hospital, Noblesville, IN, CCN 150059
  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01033800AINMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Dec 5, 2021 Accepting new patients
Riverview Hospital CurrentSince Sep 15, 2015 Accepting new patients
Riverview Hospital CurrentSince Sep 15, 2015 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

205 Noble Creek Dr
Noblesville, IN 46060
Phone (317) 773-8483

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

865 Westfield Rd
Noblesville, IN 46062
Phone (317) 770-1700

485 Sheridan Rd
Noblesville, IN 46060
Phone (317) 773-7703

Interoperability endpoints

  • Direct secure messaging: tmiller791505@directc.mercy.net

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.

Hospital & facility affiliations 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1386725638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775985",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775985",
            "telephone_number": "317-770-6900",
            "fax_number": "317-770-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NOBLE CREEK DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603117",
            "telephone_number": "317-773-8483",
            "fax_number": "317-776-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01033800A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100238140A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000086709",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmiller791505@DirectC.mercy.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "485 Sheridan Rd",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460601315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.