Active NPI
Kevin E Miller, M.D.
- Gynecology Physician
- Wichita, KS
National Provider Identifier
1679567127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 04-22358
- Practice address
- 3232 E Murdock St
Wichita, KS 67208-3003 - Phone
- (316) 219-6777
- Fax
- (316) 239-2828
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | G87808 | CA | |
| Gynecology Physician | 207VG0400X | 04-22358 | KS | Primary |
Addresses
Primary practice location
3232 E Murdock St
Wichita, KS 67208-3003
Mailing address
3232 E Murdock St
Wichita, KS 67208-3003
Phone (316) 219-6777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200540350A | Medicaid | KS |
Other names 1
- Kevin Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3232 E Murdock
Wichita, KS 67208-3003
Hospital & facility affiliations
- Rush County Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G87808 | CA | MD | Gynecology Physician |
| 04-22358 | KS | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Pathology Consultants PA | Current | Accepting new patients | |
| Center for Gynecologic Oncology and Pelvic Surgery | Gynecology | Past | Accepting new patients |
Locations
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
Interoperability endpoints
- kevin.miller.p1@direct.awhobgyn.nextgenshare.com
Organizations & group practices 2
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Wichita, KS
- NPI 1770568263
-
- Gynecology Physician
- Los Gatos, CA
- NPI 1780694653
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- La Crosse, KS
- NPI 1841240959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1679567127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 E MURDOCK ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083003",
"telephone_number": "316-219-6777",
"fax_number": "316-239-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 E MURDOCK ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672083003",
"telephone_number": "316-219-6777",
"fax_number": "316-239-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KEVIN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "G87808",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "KS",
"license": "04-22358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200540350A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KEVIN",
"last_name": "MILLER",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.