Individual provider Active NPI

Matthew Robert Miller

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1972190627
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8559 Issued in OK
Practice address
4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone
(405) 636-7195
NPI assigned
Dec 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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
Emergency Medicine Physician 207P00000X 8559 OK Primary

Addresses

Primary practice location

4401 S Western Ave
Oklahoma City, OK 73109-3413

Mailing address

4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7195

Other practice location 1

2825 Parklawn Dr
Midwest City, OK 73110-4201
Phone (405) 610-4411

Other practice location 2

1000 N Lee Ave
Oklahoma City, OK 73102-1036
Phone (405) 272-7000

Other practice location 3

4050 W Memorial Rd
Oklahoma City, OK 73120-8382
Phone (405) 608-3800

Other practice location 4

5200 E I 240 Service Rd
Oklahoma City, OK 73135-2607
Phone (405) 628-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240815000189 OK Practitioner - Emergency Medicine 5597203075 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians
Grady Memorial HospitalGroup PAC ID 0648175778, 47 clinicians

Practice addresses (Care Compare)

1500 N Green Ave
Purcell, OK 73080-1642
Phone (405) 527-6524

2220 W Iowa Ave
Professional Medical Services
Chickasha, OK 73018-2738
Phone (405) 224-2300

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Current Accepting new patients
Grady Memorial Hospital CurrentSince Apr 16, 2025 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
Purcell Municipal Hospital Past Accepting new patients
Grady Memorial Hospital Past Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

2220 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Interoperability endpoints

  • Direct secure messaging: mmiller516256@direct-ehr-ssmhc.com

Organizations & group practices 7

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 5

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": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1972190627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093413",
            "telephone_number": "405-636-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 S WESTERN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093413",
            "telephone_number": "405-636-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Parklawn Dr",
            "address_purpose": "LOCATION",
            "city": "Midwest City",
            "state": "OK",
            "postal_code": "731104201",
            "country_code": "US",
            "telephone_number": "405-610-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Lee Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021036",
            "country_code": "US",
            "telephone_number": "405-272-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 W Memorial Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731208382",
            "country_code": "US",
            "telephone_number": "405-608-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 E I 240 Service Rd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731352607",
            "country_code": "US",
            "telephone_number": "405-628-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.