Individual provider Active NPI

Jacob Daniel Miller, M.D.

  • Orthopaedic Surgery Physician
  • Toledo, OH
National Provider Identifier
1619105871
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.129589 Issued in OH
Practice address
1125 Hospital Dr FL 1
Toledo, OH 43614-8001
Phone
(419) 383-3761
Fax
(419) 383-2932
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35.129589 OH Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 35.129589 OH

Addresses

Primary practice location

1125 Hospital Dr FL 1
Toledo, OH 43614-8001

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595

Other identifiers 1

IdentifierTypeStateIssuer
0199805MedicaidOH

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
I20170228000471 OH Practitioner - Orthopedic Surgery 1254653306 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

1250 Ralston Ave
Suite 104
Defiance, OH 43512-5308
Phone (419) 783-7300

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-3578

Hospital & facility affiliations

  • University of Toledo Medical Center Hospital, Toledo, OH, CCN 360048
  • Henry County Hospital, Inc Hospital, Napoleon, OH, CCN 361309
  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Community Hospitals and Wellness Centers Hospital, Bryan, OH, CCN 360121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.129589OHMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical University of Ohio at Toledo Current Accepting new patients
Promedica Central Physicians CurrentSince Sep 1, 2017 Accepting new patients
University of Toledo Physicians LLC Orthopaedic Surgery CurrentSince Jan 19, 2017 Accepting new patients
Promedica Central Physicians Orthopaedic Surgery CurrentSince Sep 1, 2017 Accepting new patients
Henry County Hospital Inc CurrentSince Dec 7, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L4189
Columbus, OH 43260

1250 Ralston Ave
Ste 104
Defiance, OH 43512
Phone (419) 784-3044

1252 Ralston Ave
Ste 302
Defiance, OH 43512
Phone (419) 783-6996

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

3355 Glendale Ave
Fl Third
Toledo, OH 43614

3000 Arlington Ave
#1094
Toledo, OH 43614
Phone (419) 383-3761

1000 Regency Ct
Ste 200
Toledo, OH 43623
Phone (419) 383-2450

1125 Hospital Dr
Fl 1
Toledo, OH 43614
Phone (419) 383-3761

3355 Glendale Ave
Fl 3
Toledo, OH 43614
Phone (419) 383-7100

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

4510 Dorr St
#840
Toledo, OH 43615
Phone (419) 383-3888

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

1125 Hospital Dr
Toledo, OH 43614
Phone (419) 383-3761

3065 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3818

Interoperability endpoints

  • Direct secure messaging: jmiller24957@direct.utoledo.edu

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 5

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1619105871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 HOSPITAL DR FL 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436148001",
            "telephone_number": "419-383-3761",
            "fax_number": "419-383-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.129589",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "35.129589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.