Active NPI
Jon Matthew Miller, MD
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M6294
- Practice address
- 815 Pennsylvania Ave
Fort Worth, TX 76104-2224 - Phone
- (817) 321-0404
- Fax
- (817) 317-7033
- NPI assigned
- Mar 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | M6294 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | M6294 | TX | Primary |
Addresses
Primary practice location
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Mailing address
816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Keller, TX 76248
Phone (817) 321-0404
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
1650 W College St
Grapevine, TX 76051-3565
Phone (817) 321-0404
17980 Dallas Pkwy
Suite 200
Dallas, TX 75287-6817
Phone (817) 321-0937
2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171
5425 W Spring Creek Pkwy
110 Village Imaging Center
Plano, TX 75024-4236
Phone (817) 321-0937
6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 321-0937
800 E Dawson St
Tyler, TX 75701-2036
Phone (817) 321-0404
800 W Magnolia Ave
Fort Worth, TX 76104-4611
8200 Walnut Hill Lane
TH Presbyterian Hospital of Dallas
Dallas, TX 75231-4426
Phone (214) 345-6789
Hospital & facility affiliations
- Texas Health Presbyterian Hospital Dallas
- Medical City Dallas Hospital
- Medical City Fort Worth
- Covenant Medical Center
- Texoma Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6294 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Crawford Andrews & Davis PTR | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Care in Radiology | Past | Accepting new patients |
Locations
10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239
1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203
1514 Jefferson Hwy
New Orleans, LA 70121
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
1320 S University Dr
Ste 500
Fort Worth, TX 76107
Phone (817) 321-0391
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
Interoperability endpoints
- jmiller355516@ahs.direct-ci.com
- jomiller@direct.uspi.com
Organizations & group practices 21
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.
-
dba Radiology Associates, L.L.P.
- Diagnostic Radiology Physician
- Beaumont, TX
- NPI 1952325573
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
-
dba Envision Imaging at Bryant Irvin
- Physiological Laboratory
- Fort Worth, TX
- NPI 1649753716
Diagnostic Radiology
-
dba Envision Imaging of Las Colinas
- Physiological Laboratory
- Irving, TX
- NPI 1659628659
Diagnostic Radiology
-
dba Envision Imaging Keller Parkway
- Physiological Laboratory
- Keller, TX
- NPI 1861358061
Diagnostic Radiology
-
dba Dba Envision Imaging at South Lake
- Physiological Laboratory
- Southlake, TX
- NPI 1023439767
Diagnostic Radiology
-
dba Envision Imaging Southwest Fort Worth
- Physiological Laboratory
- Fort Worth, TX
- NPI 1184356685
Diagnostic Radiology
-
dba Envision Imaging of Bedford
- Physiological Laboratory
- Bedford, TX
- NPI 1215358957
Diagnostic Radiology
-
dba Envision Imaging of DeSoto
- Physiological Laboratory
- Dallas, TX
- NPI 1275892341
Diagnostic Radiology
-
dba Envision Imaging - Women's Imaging Mansfield
- Physiological Laboratory
- Mansfield, TX
- NPI 1295477974
Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
dba Medical City Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
dba Medical City Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1396779948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1942326699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "816 W CANNON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043146",
"telephone_number": "817-321-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042224",
"telephone_number": "817-321-0404",
"fax_number": "817-317-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JON",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "M6294",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M6294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.