NPIMap

Individual provider Active NPI

Jennifer Miller, DO

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1922530039
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A18802 Issued in CA
Practice address
4150 V St Ste 3400
Sacramento, CA 95817-1460
Phone
(916) 734-3564
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 20A18802 CA Primary

Addresses

Primary practice location

4150 V St Ste 3400
Sacramento, CA 95817-1460

Mailing address

4150 V St Ste 3400
Sacramento, CA 95817-1460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240524001589 CA Practitioner - Internal Medicine 9234407149 Reassigns benefits to 1 organization
I20240718000146 CO Practitioner - Critical Care (Intensivists) 9234407149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

274 Union Blvd
Suite 200
Lakewood, CO 80228-1835
Phone (303) 951-0600

Hospital & facility affiliations

  • AdventHealth Porter Hospital, Denver, CO, CCN 060064
  • Centura Health-St Anthony Hospital Hospital, Lakewood, CO, CCN 060015
  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113
  • AdventHealth Parker Hospital, Parker, CO, CCN 060114
  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18802CAMDAcupuncturist
20A18802CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amplehealth Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP CurrentSince Jun 8, 2025 Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
1125 Sir Francis Drake Boulevard Operating Company, LLC CurrentSince Apr 1, 2024 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

3270 Arena Blvd
Ste 405
Sacramento, CA 95834
Phone (916) 418-4595

274 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (303) 778-5666

Organizations & group practices 5

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1922530039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 V ST STE 3400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 V ST STE 3400",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171460",
            "telephone_number": "916-734-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A18802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.