Individual provider Active NPI

Michael D Miller, MD

  • Anesthesiology Physician
  • Indianapolis, IN
National Provider Identifier
1760407019
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01059047A Issued in IN
Practice address
8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone
(317) 621-8000
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01059047 IN
Anesthesiology Physician 207L00000X 01059047A IN Primary

Addresses

Primary practice location

8075 N Shadeland Ave
Indianapolis, IN 46250-2693

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1701 Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 567-2180 ext. 550

Other practice location 2

1500 N Ritter Ave
Indianapolis, IN 46219-3027
Phone (317) 355-1411

Other identifiers 1

IdentifierTypeStateIssuer
200519400MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20050621000535 IN Practitioner - Anesthesiology 8921043928 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Anesthesia Associates, PCGroup PAC ID 5991754145, 53 clinicians

Practice addresses (Care Compare)

1500 N Ritter Ave
Community Hospital East
Indianapolis, IN 46219-3027
Phone (317) 355-1411

8040 Clearvista Pkwy
Indianapolis, IN 46256-5630
Phone (317) 621-2000

8075 N Shadeland Ave
Indianapolis, IN 46250-2693
Phone (317) 621-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01059047INMDAnesthesiology Physician
01059047AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Care Associates, Inc CurrentSince Sep 12, 2021 Accepting new patients
Aas Indiana LLC Anesthesiology CurrentSince Feb 1, 2024 Accepting new patients
Community Anesthesia Associates, PC Anesthesiology CurrentSince Aug 2, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 12, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 12, 2024 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

5208 Reliable Pkwy
Chicago, IL 60686

4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000

8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

8040 Clearvista Pkwy
Indianapolis, IN 46256
Phone (317) 254-5740

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

1500 N Ritter Ave
Indianapolis, IN 46219
Phone (317) 355-5041

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1760407019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502693",
            "telephone_number": "317-621-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-567-2180 x550",
            "fax_number": "317-567-2191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Ritter Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193027",
            "country_code": "US",
            "telephone_number": "317-355-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01059047",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01059047A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200519400",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.