Jacob Benjamin Miller, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2011012600 Issued in MO

Practice address

100 NE Saint Lukes Blvd
Lees Summit, MO 64086-6000

Phone

(816) 347-5097

Fax

(816) 347-5045

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Anesthesiology

Education

University of Missouri, Kansas City, School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Lukes East Anesthesia Services PCGroup PAC ID 1850333477, 44 clinicians

Saint Lukes Physician Group IncGroup PAC ID 3577476894, 1,233 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Luke'S East Hospital Hospital, Lees Summit, MO, CCN 260216

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Saint Luke'S Physician Group Inc

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1093263717
  Medicare reassignment Care Compare group NPD
• St Lukes East Anesthesia Services,P.C.

  • Anesthesiology Physician
  • Lees Summit, MO
  • NPI 1649283177
  Medicare reassignment Care Compare group NPD
• Cass Regional Medical Center

  • Critical Access Hospital
  • Harrisonville, MO
  • NPI 1477535326
  Medicare reassignment NPD
• Cass Regional Medical Center

  • Rural Health Clinic/Center
  • Pleasant Hill, MO
  • NPI 1538159058
  NPD
• St Joseph Anesthesia Services, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Kansas City, MO
  • NPI 1659384188
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Lukes East Hospital

  • General Acute Care Hospital
  • Lees Summit, MO
  • NPI 1053353490
  Care Compare affiliation

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1881808061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412431",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641412431",
            "telephone_number": "913-647-4100",
            "fax_number": "913-258-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE SAINT LUKES BLVD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640866000",
            "telephone_number": "816-347-5097",
            "fax_number": "816-347-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JACOB",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2011012600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881808061",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207086307",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01085334",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "46511019",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milestone Caregiving Services, LLC
• Kirsti Millar, LPC
• Emerald Miller-Farley
• Caitlin Annette Miller, COTA/L
• Dyan Miller
• Madison Leigh Miller
• Nichela Miller
• Rynda Jo Miller, LPC
• Samantha J Miller, LPC
• Steve D Miller, DC

• Anesthesiology Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.