Active NPI
Kathleen Helen Miller, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 81666-20
- Practice address
- Mercy Health and Trauma Center
1000 Mineral Point Ave.
Janesville, WI 53548-2940 - Phone
- (608) 756-6000
- NPI assigned
- May 28, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | LP04593 | RI | |
| Emergency Medicine Physician | 207P00000X | 81666-20 | WI | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 81666-20 | WI | Primary |
Addresses
Primary practice location
Mercy Health and Trauma Center
1000 Mineral Point Ave.
Janesville, WI 53548-2940
Mailing address
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-6489
Other practice location 1
Mercy North
3400 Deerfield Dr.
Janesville, WI 53546-3557
Phone (608) 314-3600
Other practice location 2
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-6489
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- 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
- Emergency Medicine
- Education
- Albany Medical College of Union University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000
Hospital & facility affiliations
- Mercy Health System Corp
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP04593 | RI | MD | Emergency Medicine Physician |
| 81666-20 | WI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
3400 Deerfield Dr
Janesville, WI 53546
Phone (608) 314-3600
N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535
Interoperability endpoints
- kmiller104976@direct.mhemail.org
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.
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1679130520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-6489",
"fax_number": "401-444-6662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MERCY HEALTH AND TRAUMA CENTER",
"address_2": "1000 MINERAL POINT AVE.",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535482940",
"telephone_number": "608-756-6000"
}
],
"practiceLocations": [
{
"address_1": "Mercy North",
"address_2": "3400 Deerfield Dr.",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535463557",
"country_code": "US",
"telephone_number": "608-314-3600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "593 Eddy St",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029034923",
"country_code": "US",
"telephone_number": "401-444-6489",
"fax_number": "401-444-6662",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "KATHLEEN",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2023-10-24",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "LP04593",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "81666-20",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WI",
"license": "81666-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.