Roger David Millhouse, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

202103044 Issued in MO

Practice address

315 S Osteopathy Ave
Kirksville, MO 63501-6401

Phone

(660) 626-2537

NPI assigned

Jul 30, 2021

Last updated

Dec 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Family Practice

Education

At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Van Buren County HospitalGroup PAC ID 7214829530, shared by 7 NPIs, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Van Buren County PHNS Home health agency, Keosauqua, IA, CCN 167111
• Van Buren County Hospital Hospital, Keosauqua, IA, CCN 161337
• Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364
• Henry County Health Center Hospital, Mount Pleasant, IA, CCN 161356
• Van Buren County Hospital Nursing home, CCN 16Z337

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Van Buren County Hospital

  • Emergency Medicine Physician
  • Keosauqua, IA
  • NPI 1316063076
  Medicare reassignment NPD
• Van Buren County Hospital

  • Critical Access Hospital
  • Keosauqua, IA
  • NPI 1508810714
  Medicare reassignment NPD
• Van Buren County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Keosauqua, IA
  • NPI 1598844037
  NPD
• Van Buren County Hospital

  dba Farmington Medical Clinic

  • Rural Health Clinic/Center
  • Farmington, IA
  • NPI 1992875678
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Van Buren

  • Home Health Agency
  • Keosauqua, IA
  • NPI 1386720563
  Care Compare affiliation
• Henry County Health Center, Inc.

  • Critical Access Hospital
  • Mt Pleasant, IA
  • NPI 1811571417
  Care Compare affiliation
• Jefferson County Hospital

  dba Jefferson County Health Center

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329
  Care Compare affiliation
• Van Buren County Hospital

  • Critical Access Hospital
  • Keosauqua, IA
  • NPI 1508810714
  Care Compare affiliation
• Van Buren County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Keosauqua, IA
  • NPI 1598844037

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1659044030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-626-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-626-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLHOUSE",
        "first_name": "ROGER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MO",
            "license": "2021030344",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "202103044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaimee Miller, BCBA
• Jessica Miller
• Laurence Irwin Miller, D.O.
• Melissa Dawn Miller, PTA
• Morgan Miller
• John Minton, DO
• Mobile Podiatry of Kansas, LLC (Special Care Podiatry of Kansas)
• Ahmed Mohamed
• Ali Ahmad Mohammad
• Habeeb Ali Mohammed, MD

• Family Medicine Physician in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.

Verify at the official NPI Registry.