Active NPI
Ricky Miller, MD
- Vascular & Interventional Radiology Physician
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 322505
- Practice address
- 602 N Acadia Rd
Thibodaux, LA 70301-4823 - Phone
- (985) 435-4831
- Fax
- (985) 449-2585
- NPI assigned
- Jun 25, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | 322505 | LA | Primary |
Addresses
Primary practice location
602 N Acadia Rd
Thibodaux, LA 70301-4823
Mailing address
1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Phone (865) 305-9230
Other practice location 1
1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Phone (865) 305-9230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
602 N Acadia Rd
Radiology Dept
Thibodaux, LA 70301-4847
Phone (985) 493-4756
Hospital & facility affiliations
- Thibodaux Regional Medical Center
- Terrebonne General Medical Center - Parish
- Ochsner St Anne General Hospital
- Ochsner Medical Center Acute
- Bayou Bend Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.55 of 100
- Quality
- 67.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodaux Regional Network Development Corporation | Single Specialty | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Diagnostic Radiology | Current | Accepting new patients |
Locations
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
Single Specialty
-
dba Thibodaux Regional Radiology
- Diagnostic Radiology Physician
- Thibodaux, LA
- NPI 1467427336
-
- Clinical Cardiac Electrophysiology Physician
- Thibodaux, LA
- NPI 1770435851
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayou Bend Health System
- Critical Access Hospital
- Franklin, LA
- NPI 1043218365
-
dba Ochsner St. Anne General Hospital
- Critical Access Hospital
- Raceland, LA
- NPI 1396761805
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
dba Terrebonne General Medical Center
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1619317500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY # U-11",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9230",
"fax_number": "865-305-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 N ACADIA RD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014823",
"telephone_number": "985-435-4831",
"fax_number": "985-449-2585"
}
],
"practiceLocations": [
{
"address_1": "1924 Alcoa Hwy # U-11",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379201511",
"country_code": "US",
"telephone_number": "865-305-9230",
"fax_number": "865-305-8894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "RICKY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-25",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "LA",
"license": "322505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.