NPIMap

Individual provider Active NPI

James A Miller, D.O.

  • Family Medicine Physician
  • Monroe, MI
National Provider Identifier
1841297256
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
JM007649 Issued in MI
Practice address
1397 N Monroe St
Monroe, MI 48162-5360
Phone
(734) 243-3420
Fax
(734) 457-4570
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X JM007649 MI Primary

Addresses

Primary practice location

1397 N Monroe St
Monroe, MI 48162-5360

Mailing address

1397 N Monroe St
Monroe, MI 48162-5360
Phone (734) 243-3420

Other identifiers 1

IdentifierTypeStateIssuer
4332457MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110919000665 MI Practitioner - Family Practice 4082518592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 1979
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1397 N Monroe St
Monroe, MI 48162-5360
Phone (734) 243-3420

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
JM007649MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerge Health and Wellness Family Medicine CurrentSince May 2, 2019 Accepting new patients
Mercy Memorial Hospital Corporation PastSince Apr 30, 2003 Accepting new patients
Monroe Opco LLC Past Accepting new patients

Locations

1397 N Monroe St
Monroe, MI 48162
Phone (734) 243-3420

Organizations & group practices 3

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.

Hospital & facility affiliations 7

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1841297256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1397 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625360",
            "telephone_number": "734-243-3420",
            "fax_number": "734-457-4570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1397 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625360",
            "telephone_number": "734-243-3420",
            "fax_number": "734-457-4570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "JM007649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4332457",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.