Active NPI
Michael T Miller, MD
- Interventional Cardiology Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 29409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51048473 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 51103115 | Other | AL | BLUE CROSS |
| 1091103 | Medicaid | LA | |
| 51048470 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 51048472 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
| 1891985263 | Medicaid | AL | |
| 51048749 | Other | AL | BLUE CROSS |
| 51048751 | Other | AL | BLUE CROSS |
| 102I065035 | Other | AL | MEDICARE PTAN |
| 51048750 | Other | AL | BLUE CROSS |
| 51048471 | Other | AL | BLUE CROSS BLUE SHIELD OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090622000087 | AL | Practitioner - Interventional Cardiology | 6608927280 | Reassigns benefits to 1 organization |
| I20170523002162 | TN | Practitioner - Interventional Cardiology | 6608927280 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional 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 Partners
Practice addresses (Care Compare)
301 21St Ave N
Nashville, TN 37203-1821
Phone (615) 329-5144
Hospital & facility affiliations
- Ascension Saint Thomas Hospital
- Saint Thomas Hickman Hospital
- Ascension Saint Thomas Three Rivers
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29409 | AL | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hospital and Clinic Inc. | Internal Medicine | Current | Accepting new patients |
| Jackson Hospital and Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Saint Thomas Medical Partners | Internal Medicine | Current | Accepting new patients |
| Jackson Hospital & Clinic, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
Internal Medicine, TN
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1073264107
AL, Internal Medicine
-
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
TN
-
- Physical Therapist
- Montgomery, AL
- NPI 1265325823
-
- Internal Medicine Physician
- Montgomery, AL
- NPI 1154646966
Internal Medicine
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.