Individual provider Active NPI

Thomas Miller, D.O.

  • Cardiovascular Disease Physician
  • Grand Blanc, MI
National Provider Identifier
1639480221
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101018878 Issued in MI
Practice address
1 Genesys Pkwy
Suite 3452
Grand Blanc, MI 48439-8065
Phone
(810) 606-5000
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101018878 MI Primary
Internal Medicine Physician 207R00000X 5101018878 MI

Addresses

Primary practice location

1 Genesys Pkwy
Suite 3452
Grand Blanc, MI 48439-8065

Mailing address

8382 Steeple Chase CT
Grand Blanc, MI 48439-9259
Phone (810) 513-7864

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
I20131125001331 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567698475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesys Practice Partners IncGroup PAC ID 3476456492, 37 clinicians

Practice addresses (Care Compare)

3399 Pollock Rd
Suite a
Grand Blanc, MI 48439-8395
Phone (810) 606-7550

Hospital & facility affiliations

  • Mymichigan Medical Center Alpena Hospital, Alpena, MI, CCN 230036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Genesys Practice Partners Inc Cardiovascular Disease CurrentSince Jul 5, 2016 Accepting new patients
Henry Ford Health Rochester Hospital Cardiovascular Disease CurrentSince Aug 30, 2017 Accepting new patients
Genesys Practice Partners Inc Internal Medicine Current Accepting new patients
Genesys Practice Partners Inc Past Accepting new patients

Locations

1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550

1 Genesys Pkwy
Ste 4620
Grand Blanc, MI 48439
Phone (810) 606-1460

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

3399 Pollock Rd
Grand Blanc, MI 48439
Phone (810) 603-0170

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

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 3

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1639480221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8382 STEEPLE CHASE CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399259",
            "telephone_number": "810-513-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "address_2": "SUITE 3452",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "810-606-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "THOMAS",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101018878",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101018878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.