Individual provider Active NPI

Jacob Miller, M.D.

  • Vascular & Interventional Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1477089159
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
35.145357 Issued in OH
Practice address
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone
(304) 617-8377
NPI assigned
May 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME146229 FL
Vascular & Interventional Radiology Physician 2085R0204X 35.145357 OH Primary

Addresses

Primary practice location

3188 Bellevue Ave
Cincinnati, OH 45219-2369

Mailing address

3331 Ameliamont Ave
Cincinnati, OH 45209-1806
Phone (304) 617-8377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230809003765 OH Practitioner - Diagnostic Radiology 3678935525 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians
Intellirad Imaging LLCGroup PAC ID 9739333790, 60 clinicians

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

3928 Leyman Dr
Cincinnati, OH 45229-1308
Phone (305) 812-5187

7700 University Dr
West Chester, OH 45069-2505
Phone (513) 298-7325

Hospital & facility affiliations

  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • HCA Florida Kendall Hospital Hospital, Miami, FL, CCN 100209
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228
  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME146229FLMDDiagnostic Radiology Physician
35.145357OHMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Dec 15, 2023 Accepting new patients
Intellirad Imaging, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Jun 28, 2023 Accepting new patients

Locations

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

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 6

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": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1477089159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 AMELIAMONT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091806",
            "telephone_number": "304-617-8377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 BELLEVUE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192369",
            "telephone_number": "304-617-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACOB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME146229",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OH",
            "license": "35.145357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.