Active NPI
Kim L Miller, MD
- Internal Medicine Physician
- Cincinnati, OH
National Provider Identifier
1992741672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35 079279
- Practice address
- 231 Albert Sabin Way
Cincinnati, OH 45267-2827 - Phone
- (513) 556-2564
- Fax
- (513) 556-1337
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35 079279 | OH | Primary |
Addresses
Primary practice location
231 Albert Sabin Way
Cincinnati, OH 45267-2827
Mailing address
PO Box 636256
Central Credentialing
Cincinnati, OH 45263-6256
Phone (513) 585-5502
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-09563 | Other | UNITED | |
| 2338714 | Medicaid | OH | |
| 7100404580 | Medicaid | KY | |
| 000000333281 | Other | ANTHEM | |
| 79279-03 | Other | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 079279 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christ Hospital Cardiovascular Associates LLC | Past | Accepting new patients | |
| Lisa Larkin, MD,LLC | Internal Medicine | Past | Accepting new patients |
| University Surgical-Dental Associates, LLC | Past | Accepting new patients | |
| Ohio Heart and Vascular Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/25807/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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
- Cincinnati, OH
- NPI 1376532879
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1356392070
-
- Cardiovascular Disease Physician
- Cincinnati, OH
- NPI 1497901458
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Cincinnati, OH
- NPI 1649241787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1992741672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"address_2": "CENTRAL CREDENTIALING",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-585-5502",
"fax_number": "513-585-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 ALBERT SABIN WAY",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452672827",
"telephone_number": "513-556-2564",
"fax_number": "513-556-1337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "KIM",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35 079279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "04-09563",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2338714",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100404580",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000333281",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "79279-03",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.