Individual provider Active NPI

Michael T Miller, MD

  • Diagnostic Radiology Physician
  • Buffalo, NY
National Provider Identifier
1801853791
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
164583 Issued in NY
Practice address
3 Gates Cir
Buffalo, NY 14209-1120
Phone
(716) 859-2954
Fax
(716) 859-2962
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 164583 NY Primary

Addresses

Primary practice location

3 Gates Cir
Buffalo, NY 14209-1120

Mailing address

PO Box 1368
Williamsville, NY 14231-1368
Phone (716) 859-2954

Other identifiers 14

IdentifierTypeStateIssuer
000911511011OtherBLUE SHIELD WNY
101121FFOtherPREFERRED CARE
16485378BOtherNYWORKERS COMPENSATION
P020164583OtherBLUE SHIELD OF ROCHESTER
00025553402OtherUNIVERA
0141997OtherGHI
1693148OtherINDEPENDENT HEALTH
00025553404OtherUNIVERA
040426003057OtherFIDELIS
P010164583OtherBLUE CHOICE
000911511014OtherBLUE SHIELD WNY
01033590MedicaidNY
4195937OtherGHI
P00005726OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20070522000480 NY Practitioner - Diagnostic Radiology 0547159766 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Borg and Ide Imaging PCGroup PAC ID 9931012960, 14 clinicians

Practice addresses (Care Compare)

995 Senator Keating Blvd
BLDG 3
Rochester, NY 14618-2775
Phone (585) 241-6600

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
85
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Jul 4, 2017 Accepting new patients
Rochester General Hospital CurrentSince Jul 4, 2017 Accepting new patients
Rochester General Hospital Current Accepting new patients
St James Hospital CurrentSince Nov 27, 2018 Accepting new patients
Rochester General Hospital CurrentSince Jul 4, 2017 Accepting new patients
Borg & Ide Imaging, PC Diagnostic Radiology CurrentSince Nov 1, 2019 Accepting new patients
Imaging Radiology Associates,LLC Diagnostic Radiology PastSince Jan 1, 2009 Accepting new patients
Borg Imaging Group LLP Past Accepting new patients
Apex Imaging I, P.C. Diagnostic Radiology Past Accepting new patients
Advanced Digestive Care P a Past Accepting new patients
Lakeside Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

27037 Network Pl
Chicago, IL 60673

127 North St
Batavia, NY 14020
Phone (585) 267-7510

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

995 Senator Keating Blvd
#B
Rochester, NY 14618

995 Senator Keating Blvd
Bldg 3
Rochester, NY 14618
Phone (585) 241-6600

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1561 Long Pond Rd
Ste 113
Rochester, NY 14626
Phone (585) 241-6800

1 Saredon Pl
Ste 200
Rochester, NY 14606
Phone (585) 225-5735

2273 S Clinton Ave
Rochester, NY 14618
Phone (585) 473-8950

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1801853791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142311368",
            "telephone_number": "716-859-2954",
            "fax_number": "716-859-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 GATES CIR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091120",
            "telephone_number": "716-859-2954",
            "fax_number": "716-859-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "164583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000911511011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101121FF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "16485378B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ROCHESTER",
            "identifier": "P020164583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025553402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0141997",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1693148",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00025553404",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426003057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010164583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000911511014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01033590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "4195937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00005726",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.