Individual provider Active NPI

Susan K Miller, M.D

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1831117589
Registry record updated Aug 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35059540 Issued in OH
Practice address
2049 E 100TH St
Desk A10
Cleveland, OH 44195-2203
Phone
(216) 444-6987
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35059540 OH Primary
Diagnostic Ultrasound Physician 2085U0001X 35059540 OH

Addresses

Primary practice location

2049 E 100TH St
Desk A10
Cleveland, OH 44195-2203

Mailing address

9500 Euclid Ave
Desk A10
Cleveland, OH 44195-3420
Phone (216) 444-6987

Other identifiers 9

IdentifierTypeStateIssuer
0909799MedicaidOH
300037098OtherOHINDIVIDUAL RR MEDICARE #
34165342900OtherOHGROUP WORKERS COMP#
0798445MedicaidOH
341653429OtherOHGROUP TAX ID#
341653429006OtherOHGRP MEDICAL MUTUAL OF OH.
000000028415OtherOHGROUP ANTHEM ID #
000000028694OtherOHINDIVIDUAL ANTHEM ID #
CC0299OtherOHGROUP RR MEDICARE #

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
I20070410000261 OH Practitioner - Diagnostic Radiology 5799738274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic Medical Services CompanyGroup PAC ID 5698674653, 201 clinicians

Practice addresses (Care Compare)

1000 E Washington St
Medina, OH 44256-2170
Phone (330) 721-5117

12300 McCracken Rd
Cleveland, OH 44125-2914
Phone (440) 587-8600

2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262

4300 Allen Rd
Stow, OH 44224-1032
Phone (330) 945-9300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35059540OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic Medical Services Company Diagnostic Radiology CurrentSince Apr 2, 2007 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Clinic Medical Services Company LLC Diagnostic Radiology CurrentSince Apr 2, 2007 Accepting new patients
Hillcrest Radiology Associates, Inc Diagnostic Radiology Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

9500 Euclid Ave
#A10
Cleveland, OH 44195
Phone (216) 445-7918

12300 McCracken Rd
Garfield Hts, OH 44125
Phone (216) 581-0500

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500

Interoperability endpoints

  • Direct secure messaging: smiller59271@direct.ccf.org

Organizations & group practices 4

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 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1831117589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "DESK A10",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441953420",
            "telephone_number": "216-444-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2049 E 100TH ST",
            "address_2": "DESK A10",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441952203",
            "telephone_number": "216-444-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35059540",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OH",
            "license": "35059540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0909799",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL RR MEDICARE #",
            "identifier": "300037098",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP WORKERS COMP#",
            "identifier": "34165342900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0798445",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TAX ID#",
            "identifier": "341653429",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP MEDICAL MUTUAL OF OH.",
            "identifier": "341653429006",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ANTHEM ID #",
            "identifier": "000000028415",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL ANTHEM ID #",
            "identifier": "000000028694",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RR MEDICARE #",
            "identifier": "CC0299",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.