Individual provider Active NPI

Katherine G Miller, MD

  • Gynecologic Oncology Physician
  • Providence, RI
National Provider Identifier
1558775577
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD16277 Issued in RI
Practice address
1 Blackstone Street
Providence, RI 02903
Phone
(401) 453-7520
Fax
(401) 453-7529
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 290503 MA
Obstetrics & Gynecology Physician 207V00000X MD16277 RI
Gynecologic Oncology Physician 207VX0201X 290503 MA
Gynecologic Oncology Physician 207VX0201X MD16277 RI Primary

Addresses

Primary practice location

1 Blackstone Street
Providence, RI 02903

Mailing address

455 Toll Gate Rd
Warwick, RI 02886-2759

Other practice location 1

373 New Boston Rd Ste 3
Fall River, MA 02720-5814
Phone (508) 235-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210831002785 RI Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 1456657212 Reassigns benefits to 1 organization
I20220105000419 MA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 1456657212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wih Faculty Physicians, IncGroup PAC ID 9234179763, 14 clinicians
Affinity Physicians LLC.Group PAC ID 0244413391, 723 clinicians

Practice addresses (Care Compare)

373 New Boston Rd
Suite 3
Fall River, MA 02720-5852
Phone (508) 235-3500

455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010

Hospital & facility affiliations

  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of the uterus12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wih Faculty Physicians, Inc Obstetrics & Gynecology CurrentSince Feb 1, 2022 Accepting new patients
Affinity Physicians LLC. Obstetrics & Gynecology CurrentSince Oct 1, 2021 Accepting new patients
Affinity Physicians LLC CurrentSince Oct 1, 2021 Accepting new patients
Wih Faculty Practice, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

373 New Boston Rd
Ste 3
Fall River, MA 02720
Phone (508) 235-3500

668 Eddy St
Providence, RI 02903
Phone (401) 369-4068

345 Blackstone Blvd
Providence, RI 02906
Phone (401) 455-6375

101 Dudley St
Providence, RI 02905
Phone (401) 453-7950

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Organizations & group practices 4

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1558775577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKSTONE STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02903",
            "telephone_number": "401-453-7520",
            "fax_number": "401-453-7529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 New Boston Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027205814",
            "country_code": "US",
            "telephone_number": "508-235-3500",
            "fax_number": "508-679-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHERINE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "290503",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD16277",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MA",
            "license": "290503",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "RI",
            "license": "MD16277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.