Active NPI
David P Miller, MD
- Family Medicine Physician
- Wichita, KS
National Provider Identifier
1891750378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-17713
- Practice address
- 850 N Hillside St
Wichita, KS 67214-4914 - Phone
- (316) 962-3070
- Fax
- (316) 962-3265
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-17713 | KS | Primary |
Addresses
Primary practice location
850 N Hillside St
Wichita, KS 67214-4914
Mailing address
PO Box 47490
Wichita, KS 67201-7490
Phone (316) 962-3150
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101479 | Other | KS | BLUE CROSS BLUE SHIELD |
| 621841 | Other | KS | FIRSTGUARD |
| 461100 | Other | KS | CHILDRENS MERCY FAMILY HE |
| 100112750B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101025000194 | KS | Practitioner - Family Practice | 9638362536 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-17713 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wesley Physicians Medical Specialties LLC | Current | Accepting new patients | |
| Wesley Medical Center LLC | Past | Accepting new patients |
Locations
2600 N Woodlawn Blvd
Wichita, KS 67220
Phone (316) 260-1690
850 N Hillside St
Wichita, KS 67214
Phone (316) 688-3070
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Wichita, KS
- NPI 1467409185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891750378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47490",
"city": "WICHITA",
"state": "KS",
"postal_code": "672017490",
"telephone_number": "316-962-3150",
"fax_number": "316-962-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 N HILLSIDE ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144914",
"telephone_number": "316-962-3070",
"fax_number": "316-962-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DAVID",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-17713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "101479",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "621841",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MERCY FAMILY HE",
"identifier": "461100",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100112750B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.