Michael Francis Miniter, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

036081977 Issued in IL

Practice address

2202 18TH Ave
Rock Island, IL 61201-3614

Phone

(309) 793-3400

Fax

(309) 793-7323

NPI assigned

Jan 11, 2006

Last updated

Aug 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL, IA2 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 2

Specialty

Rheumatology

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keokuk County Health CenterGroup PAC ID 0244138774, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Keokuk County Health Center

  • Critical Access Hospital
  • Sigourney, IA
  • NPI 1376611103
  Medicare reassignment Care Compare group
• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134

  Rheumatology

  Medicare reassignment NPD
• Quad City Rheumatology SC

  • Rheumatology Physician
  • Rock Island, IL
  • NPI 1114974581
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trinity Medical Center

  dba Trinity Rock Island

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1780663500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 18TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013614",
            "telephone_number": "309-793-3400",
            "fax_number": "309-793-7323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 18TH AVE",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612013614",
            "telephone_number": "309-793-3400",
            "fax_number": "309-793-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINITER",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036081977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND. PROVIDER #",
            "identifier": "K06474",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036081977",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew J Miller Jr, NRP
• Ana M Miller, RN, CWOCN
• Payton Miller
• Beatrice Ann Minear, RN
• Dana Mirocha, LMSW
• Anna Misener
• Abby Lynne Mitchell, LCSW
• Ashley Mitchell
• Shawna Mitchell, LMSW

• Rheumatology Physician in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.

Verify at the official NPI Registry.