NPIMap

Individual provider Active NPI

Jeffrey James Miller, MD

  • Otolaryngology Physician
  • Hot Springs, AR
National Provider Identifier
1528048923
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E2865 Issued in AR
Practice address
One Mercy Lane
Suite 106
Hot Springs, AR 71913-6408
Phone
(501) 609-2368
Fax
(501) 609-2248
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X E2865 AR Primary

Addresses

Primary practice location

One Mercy Lane
Suite 106
Hot Springs, AR 71913-6408

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 609-2368

Other identifiers 1

IdentifierTypeStateIssuer
142925001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100311000657 AR Practitioner - Otolaryngology 5294802484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Arkansas College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI St Vincent Medical Group Hot SpringsGroup PAC ID 3971673716, 184 clinicians

Practice addresses (Care Compare)

1 Mercy LN
Suite 106
Hot Springs National Park, AR 71913-6408
Phone (501) 609-2368

Hospital & facility affiliations

  • CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026
  • National Park Medical Center Hospital, Hot Springs, AR, CCN 040078
  • Mena Regional Health System Hospital, Mena, AR, CCN 041334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2865ARMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Feb 1, 2014 Accepting new patients
CHI St Vincent Hospital Hot Springs PastSince Jan 1, 2020 Accepting new patients
Hot Springs MRI Center Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

1 Mercy Ln
Ste 106
Hot Springs National Park, AR 71913
Phone (501) 609-2368

Interoperability endpoints

  • Direct secure messaging: jmiller412212@directb.mercy.net

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHI St Vincent Hospital Hot SpringsHot Springs National Park, AR, CCN 040026 Hospital Corporate Director Jan 1, 2020
CHI St Vincent Medical Group Hot SpringsGlenwood, AR, CCN 043868 Rural health clinic Corporate Director Jul 1, 2018
CHI St Vincent Medical Group Hot SpringsMurfreesboro, AR, CCN 043869 Rural health clinic Corporate Director Jul 1, 2018
CHI St Vincent Medical Group Hot SpringsMt Ida, AR, CCN 043870 Rural health clinic Corporate Director Jul 1, 2018

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 8

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1528048923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-609-2368",
            "fax_number": "501-609-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MERCY LANE",
            "address_2": "SUITE 106",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136408",
            "telephone_number": "501-609-2368",
            "fax_number": "501-609-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "E2865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142925001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.