Individual provider Active NPI

Michael T Miller, MD

  • Interventional Cardiology Physician
  • Montgomery, AL
National Provider Identifier
1891985263
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
29409 Issued in AL
Practice address
273 Winton M Blount Loop
Montgomery, AL 36117-3507
Phone
(334) 280-1500
Fax
(334) 280-1600
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 29409 AL
Interventional Cardiology Physician 207RI0011X 29409 AL Primary
Internal Medicine Physician 207R00000X 29409 AL
Nuclear Cardiology Physician 207UN0901X 29409 AL
Interventional Cardiology Physician 207RI0011X 55902 TN
Cardiovascular Disease Physician 207RC0000X 55902 TN

Addresses

Primary practice location

273 Winton M Blount Loop
Montgomery, AL 36117-3507

Mailing address

P.O. Box 241587
Montgomery, AL 36124-1587
Phone (334) 280-1500

Other identifiers 11

IdentifierTypeStateIssuer
51048473OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
51103115OtherALBLUE CROSS
1091103MedicaidLA
51048470OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
51048472OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
1891985263MedicaidAL
51048749OtherALBLUE CROSS
51048751OtherALBLUE CROSS
102I065035OtherALMEDICARE PTAN
51048750OtherALBLUE CROSS
51048471OtherALBLUE CROSS BLUE SHIELD OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090622000087 AL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6608927280 Reassigns benefits to 1 organization
I20170523002162 TN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 6608927280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Mississippi School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

301 21St Ave N
Nashville, TN 37203-1821
Phone (615) 329-5144

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Saint Thomas Hickman Hospital Hospital, Centerville, TN, CCN 441300
  • Ascension Saint Thomas Three Rivers Hospital, Waverly, TN, CCN 441303

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29409ALMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic Inc. Internal Medicine CurrentSince Feb 23, 2011 Accepting new patients
Jackson Hospital and Clinic, Inc. Internal Medicine Current Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Jun 1, 2017 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Feb 23, 2011 Accepting new patients
Essen Medical Urgicare, PLLC Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

301 21st Ave N
Ste 100
Nashville, TN 37203
Phone (615) 329-5144

300 20th Ave N
Fl 9
Nashville, TN 37203

301 21st Ave N
Nashville, TN 37203
Phone (615) 329-5144

451 Highway 13 S
Waverly, TN 37185
Phone (931) 296-0211

Interoperability endpoints

  • Direct secure messaging: michael.miller.2@7654.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1891985263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 241587",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361241587",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 WINTON M BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-280-1500",
            "fax_number": "334-280-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "29409",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "29409",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "29409",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "AL",
            "license": "29409",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "55902",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "55902",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51048473",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51103115",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091103",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51048470",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51048472",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891985263",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51048749",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51048751",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102I065035",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51048750",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51048471",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.