Individual provider Active NPI

Lynn Keith Miller, MD

  • Cardiovascular Disease Physician
  • Farmington Hills, MI
National Provider Identifier
1609867852
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301039574 Issued in MI
Practice address
30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262
Phone
(248) 419-3400
Fax
(248) 419-3410
NPI assigned
Nov 4, 2005
Last updated
Jul 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301039574 MI Primary

Addresses

Primary practice location

30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262

Mailing address

30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262
Phone (248) 419-3400

Other identifiers 1

IdentifierTypeStateIssuer
1402478MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060501000046 MI Practitioner - Cardiovascular Disease (Cardiology) 2860460722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Wayne State University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goldman and Miller Cardiology, P.C.Group PAC ID 5890763759, 3 clinicians

Practice addresses (Care Compare)

30335 W 13 Mile Rd
Suite 103
Farmington Hills, MI 48334-2262
Phone (248) 419-3400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goldman and Miller Cardiology, P.C. Cardiovascular Disease CurrentSince Jul 1, 1983 Accepting new patients

Locations

30335 W 13 Mile Rd
Farmington Hills, MI 48334
Phone (248) 626-6500

30335 W 13 Mile Rd
Ste 103
Farmington Hills, MI 48334
Phone (248) 419-3400

Interoperability endpoints

  • Direct secure messaging: lmiller59660@direct.hfhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1609867852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-419-3400",
            "fax_number": "248-419-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30335 W 13 MILE RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342262",
            "telephone_number": "248-419-3400",
            "fax_number": "248-419-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LYNN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301039574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1402478",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.