Active NPI
Michael Francis Miller, MD
- Emergency Medicine Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- LT-3150
- Practice address
- 1510 Winchester Rd
Annapolis, MD 21409-5848 - Phone
- (443) 623-4318
- NPI assigned
- Apr 27, 2006
- Last updated
- Nov 2, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101046661 | VA | |
| Emergency Medicine Physician | 207P00000X | LT-3150 | NH | Primary |
| Internal Medicine Physician | 207R00000X | 0101046661 | VA |
Addresses
Primary practice location
1510 Winchester Rd
Annapolis, MD 21409-5848
Mailing address
1510 Winchester Rd
Annapolis, MD 21409-5848
Phone (443) 623-4318
Other practice location 1
200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172295 | Other | ANTHEM BC/BS | |
| 89067E8 | Medicaid | NC | |
| 010086752 | Medicaid | VA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmiller266388@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | michael.miller.1@15486.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Eastern Virginia Medical School, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
434 N W St
Perryville, MO 63775-1359
Phone (573) 547-2536
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101046661 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Current | Accepting new patients | |
| Mercy Hospital Perry | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital Association | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Perry | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Southeast Health Center of Stoddard County, LLC | Current | Accepting new patients | |
| Southeast Health Center of Stoddard County LLC | Emergency Medicine | Current | Accepting new patients |
| Texas County Memorial Hospital | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Montgomery General Hospital, Inc | Current | Accepting new patients | |
| Iroquois Memorial Hospital and Resident Home | Current | Accepting new patients | |
| Mercy Hospital Perry | Current | Accepting new patients | |
| Electric City Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Memorial Hospital Association | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Integritas Emergency Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Texas County Memorial Hospital | Emergency Medicine | Current | Accepting new patients |
| Southeast Health Center of Stoddard County, LLC | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Epss Peoria LLC | Emergency Medicine | Current | Accepting new patients |
| Saint Luke's Hospital of Trenton | Current | Accepting new patients | |
| Memorial Hospital | Current | Accepting new patients | |
| Saint Luke's Hospital of Trenton | Emergency Medicine | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Mercy Hospital Lincoln | Internal Medicine | Current | Accepting new patients |
| Saint Luke's Hospital of Trenton | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current | Accepting new patients | |
| CMH Anesthesia Services LLC | Past | Accepting new patients | |
| Texas County Memorial Hospital | Past | Accepting new patients | |
| Hoopeston Emergency Medicine Specialists, LTD. | Emergency Medicine | Past | Accepting new patients |
| Internal Medicine of Bridgeville | Internal Medicine | Past | Accepting new patients |
| Saint Luke's Hospital of Trenton | Past | Accepting new patients | |
| Pike Emergency Medicine LLC | Emergency Medicine | Past | Accepting new patients |
| Community Memorial Hospital | Past | Accepting new patients | |
| Kenneth R Smith MD | Internal Medicine | Past | Accepting new patients |
| Saint Lukes Hospital of Chillicothe | Past | Accepting new patients |
Locations
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
1900 State St
Chester, IL 62233
Phone (618) 826-2388
900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900
1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311
434 N West St
Perryville, MO 63775
Phone (573) 547-2530
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327
900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585
401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
- mmiller101049@direct.saint-lukes.org
Organizations & group practices 39
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.
-
- Emergency Medicine Physician
- Butler, MO
- NPI 1659604254
-
- Emergency Medicine Physician
- Peoria, IL
- NPI 1831421056
-
dba Pershing Memorial Hospital
- Primary Care Clinic/Center
- Brookfield, MO
- NPI 1982612461
-
- Emergency Medicine Physician
- Carbondale, IL
- NPI 1790128817
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
- Critical Access Hospital
- Chester, IL
- NPI 1851390132
-
- Critical Access Hospital
- Montgomery, WV
- NPI 1619913647
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
-
dba Osf Saint Luke Medical Center
- Critical Access Hospital
- Kewanee, IL
- NPI 1871919381
-
dba Wright Memorial Hospital
- Critical Access Hospital
- Trenton, MO
- NPI 1841274057
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Canton, IL
- NPI 1154117521
-
- Critical Access Hospital
- Troy, MO
- NPI 1962808733
-
- Critical Access Hospital
- Perryville, MO
- NPI 1063117158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1710944392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 WINCHESTER RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214095848",
"telephone_number": "443-623-4318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 WINCHESTER RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214095848",
"telephone_number": "443-623-4318"
}
],
"practiceLocations": [
{
"address_1": "200 E Fairman Ave",
"address_purpose": "LOCATION",
"city": "Watseka",
"state": "IL",
"postal_code": "609701644",
"country_code": "US",
"telephone_number": "815-432-5841",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101046661",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "LT-3150",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101046661",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "172295",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89067E8",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010086752",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmiller266388@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "100 Pin Oak Ln",
"city": "Keyser",
"state": "WV",
"country_code": "US",
"postal_code": "267265908",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.miller.1@15486.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "IMH",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "200 E Fairman Ave",
"city": "Watseka",
"state": "IL",
"country_code": "US",
"postal_code": "609701644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.