Individual provider Active NPI

Michael David Miller, MD

  • Family Medicine Physician
  • Hilliard, OH
National Provider Identifier
1891770665
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.084691 Issued in OH
Practice address
3958 Leap Rd Ste 101
Hilliard, OH 43026-3107
Phone
(614) 876-7330
Fax
(614) 876-6974
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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 35.084691 OH Primary

Addresses

Primary practice location

3958 Leap Rd Ste 101
Hilliard, OH 43026-3107

Mailing address

3958 Leap Rd Ste 101
Hilliard, OH 43026-3107
Phone (614) 876-7330

Other practice location 1

7450 Hospital Dr Ste 4500
Dublin, OH 43016-9693
Phone (614) 788-0588

Other identifiers 1

IdentifierTypeStateIssuer
2611730MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmiller130737@direct.ohiohealth.com OhioHealth Physician Group, Inc.

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
I20050914000058 OH Practitioner - Family Practice 0648203356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

3958 Leap Rd
Suite 101
Hilliard, OH 43026-3107
Phone (614) 876-7330

7450 Hospital Dr
Suite 4500
Dublin, OH 43016-9642
Phone (614) 788-0588

Hospital & facility affiliations

  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Apr 5, 2021 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2024 Accepting new patients
Ohiohealth Corporation CurrentSince Mar 1, 2024 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Apr 5, 2021 Accepting new patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Marysville Emergency Physicians Inc. Past Accepting new patients

Locations

Dept L3652
Columbus, OH 43260

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

3958 Leap Rd
Ste 101
Hilliard, OH 43026
Phone (614) 876-7330

1140 Charles Ln
Marysville, OH 43040
Phone (937) 578-4291

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

Interoperability endpoints

  • Direct secure messaging: mmiller18824@copcp.medicity.net

Organizations & group practices 8

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 4

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1891770665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3958 LEAP RD STE 101",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263107",
            "telephone_number": "614-876-7330",
            "fax_number": "614-876-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3958 LEAP RD STE 101",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263107",
            "telephone_number": "614-876-7330",
            "fax_number": "614-876-6974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7450 Hospital Dr Ste 4500",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430169693",
            "country_code": "US",
            "telephone_number": "614-788-0588",
            "fax_number": "614-788-0587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.084691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2611730",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmiller130737@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "7450 Hospital Dr Ste 4500",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430169693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.