NPIMap

Individual provider Active NPI

William Jess Miller, MD

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1811988835
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
13146 Issued in OK
Practice address
5401 N Portland
Ste. 440
Oklahoma City, OK 73112
Phone
(405) 943-1137
Fax
(405) 947-0731
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 13146 OK Primary

Addresses

Primary practice location

5401 N Portland
Ste. 440
Oklahoma City, OK 73112

Mailing address

5401 N Portland
Ste. 440
Oklahoma City, OK 73112
Phone (405) 943-1137

Other identifiers 1

IdentifierTypeStateIssuer
100110890AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070416000221 OK Practitioner - Urology 1456456755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Specialists of Central Oklahoma LLCGroup PAC ID 0042474371, 6 clinicians

Practice addresses (Care Compare)

3366 NW Expressway
Suite 500
Oklahoma City, OK 73112-4439
Phone (405) 943-1137

Hospital & facility affiliations

  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Canadian Valley Hospital Hospital, Yukon, OK, CCN 370211
  • Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236

Merit-based Incentive Payment System (MIPS)

Final score
25.71 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13146OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Specialists of Central Oklahoma, LLC Urology CurrentSince Oct 1, 2014 Accepting new patients
Norman Regional Providers Primary Care Past Accepting new patients
Surgical Specialists of Oklahoma Past Accepting new patients
Surgical Specialists of Oklahoma PLLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

5401 N Portland Ave
Ste 440
Oklahoma City, OK 73112
Phone (405) 604-4100

3366 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 943-1137

Interoperability endpoints

  • Direct secure messaging: wmiller22970@direct.integrisok.com
  • Direct secure messaging: william.miller.1@17407.direct.athenahealth.com

Organizations & group practices 5

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 9

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1811988835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND",
            "address_2": "STE. 440",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-943-1137",
            "fax_number": "405-947-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N PORTLAND",
            "address_2": "STE. 440",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73112",
            "telephone_number": "405-943-1137",
            "fax_number": "405-947-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "WILLIAM",
        "middle_name": "JESS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OK",
            "license": "13146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.