Individual provider Active NPI

Michael John Miller, MD.

  • Plastic Surgery Physician
  • Gilbert, AZ
National Provider Identifier
1588762710
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35055145 Issued in OH
Practice address
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone
(480) 256-6444
Fax
(480) 256-3682
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X H8761 TX
Plastic Surgery Physician 208200000X 35055145 OH Primary

Addresses

Primary practice location

2946 E Banner Gateway Dr
Gilbert, AZ 85234

Mailing address

2940 E. Banner Gateway Dr
Suite 450
Gilbert, AZ 85234
Phone (480) 286-6444

Other identifiers 1

IdentifierTypeStateIssuer
0677441MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 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
I20190321000378 CO Practitioner - Plastic and Reconstructive Surgery 4082615463
I20200427001457 AZ Practitioner - Plastic and Reconstructive Surgery 4082615463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Massachusetts Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone (480) 256-6444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.42 of 100Reported as group
Quality
62.19
Promoting interoperability
99
Improvement activities
40
Cost
61.29

Merit-based Incentive Payment System (MIPS)

Final score
87.9 of 100Reported as group
Quality
79.21
Promoting interoperability
99
Improvement activities
40
Cost
77.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy27
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35055145OHMDPlastic Surgery Physician
H8761TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Cancer Center Specialists LLC CurrentSince Apr 10, 2020 Accepting new patients
Banner Hospital Based Physicians Colorado LLC Current Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Apr 10, 2020 Accepting new patients
Park Meadows Cosmetic Surgery, PC Plastic Surgery CurrentSince Apr 1, 2019 Accepting new patients
M D Anderson Physicians Network Past Accepting new patients

Locations

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2940 E Banner Gateway Dr
Ste 450
Gilbert, AZ 85234
Phone (480) 256-3676

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14416 W Meeker Blvd
Ste 301
Sun City West, AZ 85375
Phone (623) 876-3800

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

7430 Park Meadows Dr
Ste 300
Lone Tree, CO 80124
Phone (303) 706-1100

Interoperability endpoints

  • Direct secure messaging: mmiller@directaddress.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 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1588762710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 E. BANNER GATEWAY DR",
            "address_2": "SUITE 450",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-286-6444",
            "fax_number": "480-256-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 E BANNER GATEWAY DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85234",
            "telephone_number": "480-256-6444",
            "fax_number": "480-256-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "H8761",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35055145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0677441",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.