Individual provider Active NPI

Michael Francis Miller, MD

  • Emergency Medicine Physician
  • Annapolis, MD
National Provider Identifier
1710944392
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LT-3150 Issued in NH
Practice address
1510 Winchester Rd
Annapolis, MD 21409-5848
Phone
(443) 623-4318
NPI assigned
Apr 27, 2006
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
172295OtherANTHEM BC/BS
89067E8MedicaidNC
010086752MedicaidVA

Electronic endpoints 2

TypeEndpointUseAffiliation
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, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110616000057 MO Practitioner - Emergency MedicinePractitioner - Internal Medicine 7416920764 Reassigns benefits to 10 organizations
I20111219000742 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 7416920764 Reassigns benefits to 6 organizations
I20130425000114 WV Practitioner - Emergency Medicine 7416920764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Eastern Virginia Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital PerryGroup PAC ID 1153777826, 115 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101046661VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Dec 1, 2017 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 CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Perry CurrentSince Mar 1, 2025 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jun 4, 2024 Accepting new patients
Osf Healthcare System CurrentSince Mar 21, 2017 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Apr 1, 2025 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Texas County Memorial Hospital CurrentSince Jun 1, 2020 Accepting new patients
Osf Healthcare System CurrentSince Mar 21, 2017 Accepting new patients
Montgomery General Hospital, Inc Current Accepting new patients
Iroquois Memorial Hospital and Resident Home CurrentSince Oct 30, 2022 Accepting new patients
Mercy Hospital Perry CurrentSince Mar 1, 2025 Accepting new patients
Electric City Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 26, 2019 Accepting new patients
Memorial Hospital Association CurrentSince Feb 1, 2023 Accepting new patients
Memorial Hospital Association CurrentSince Feb 1, 2023 Accepting new patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Jan 3, 2017 Accepting new patients
Texas County Memorial Hospital Emergency Medicine CurrentSince Jun 1, 2020 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 CurrentSince Aug 16, 2017 Accepting new patients
Saint Luke's Hospital of Trenton Current Accepting new patients
Memorial Hospital CurrentSince Dec 1, 2017 Accepting new patients
Saint Luke's Hospital of Trenton Emergency Medicine CurrentSince May 9, 2024 Accepting new patients
Osf Healthcare System Current Accepting new patients
Saint Lukes Hospital of Chillicothe CurrentSince May 1, 2024 Accepting new patients
Mercy Hospital Lincoln Internal Medicine CurrentSince Aug 20, 2025 Accepting new patients
Saint Luke's Hospital of Trenton CurrentSince May 9, 2024 Accepting new patients
General John J Pershing Memorial Hospital Association CurrentSince Jun 4, 2024 Accepting new patients
CMH Anesthesia Services LLC PastSince Apr 1, 2008 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

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • Direct secure messaging: 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.

View all 39

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": "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

Verify at the official NPI Registry.