Individual provider Active NPI

John M Miller, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dayton, OH
National Provider Identifier
1801875877
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35067912 Issued in OH
Practice address
1520 S Main St
Suite 3
Dayton, OH 45409-2698
Phone
(937) 208-7240
Fax
(937) 208-7242
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35067912 OH Primary

Addresses

Primary practice location

1520 S Main St
Suite 3
Dayton, OH 45409-2698

Mailing address

1520 S Main St
Suite 3
Dayton, OH 45409-2698
Phone (937) 208-7240

Other practice location 1

9000 N Main St Ste 233
Englewood, OH 45415-1184
Phone (937) 208-7240

Other identifiers 1

IdentifierTypeStateIssuer
2187128MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080609000081 OH Practitioner - Thoracic Surgery 4385640267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

1 Wyoming St
Dayton, OH 45409-2722

200 Medical Ctr Dr
250B
Middletown, OH 45005-5200
Phone (937) 435-4263

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)11
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Specialists Inc CurrentSince Jun 1, 2008 Accepting new patients
Premier Health Specialists Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 1, 2008 Accepting new patients
Premier Heart Associates, Inc Past Accepting new patients
Hans Zwart, M.D. and Associates, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Premier Health Specialists Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Atrium Medical Center Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

1520 S Main St
Ste 3
Dayton, OH 45409
Phone (937) 208-7240

9000 N Main St
Ste 233
Englewood, OH 45415
Phone (937) 832-3150

580 Lincoln Park Blvd
Ste 322
Kettering, OH 45429
Phone (937) 297-6800

200 Medical Center Dr
Ste 490
Middletown, OH 45005
Phone (513) 424-1291

3170 Kettering Blvd
Bldg 3
Moraine, OH 45439

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

Organizations & group practices 8

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 4

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1801875877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-208-7240",
            "fax_number": "937-208-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "address_2": "SUITE 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-208-7240",
            "fax_number": "937-208-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 N Main St Ste 233",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151184",
            "country_code": "US",
            "telephone_number": "937-208-7240",
            "fax_number": "937-208-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35067912",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187128",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.