Individual provider Active NPI

David G. Miller, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Beachwood, OH
National Provider Identifier
1992799191
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
35-074140 Issued in OH
Practice address
3401 Enterprise Pkwy
Suite 300
Beachwood, OH 44122-7341
Phone
(216) 831-5700
Fax
(216) 831-1959
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 35-074140 OH Primary
Ophthalmology Physician 207W00000X 35-07-4140-M OH

Addresses

Primary practice location

3401 Enterprise Pkwy
Suite 300
Beachwood, OH 44122-7341

Mailing address

3401 Enterprise Pkwy
Suite 300
Beachwood, OH 44122-7341
Phone (216) 831-5700

Other identifiers 2

IdentifierTypeStateIssuer
2059561MedicaidOH
35-07-4140-MOtherOHOHIO LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060327000926 OH Practitioner - Ophthalmology 0941218374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Cincinnati College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of Cleveland, Inc.Group PAC ID 2769463785, 19 clinicians

Practice addresses (Care Compare)

24075 Commerce Park
Beachwood, OH 44122-5846
Phone (216) 831-5700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-074140OHMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Eye and Laser Surgery Center LLC Current Accepting new patients
Retina Associates of Cleveland, Inc. Ophthalmology CurrentSince Nov 1, 2005 Accepting new patients
Akron Children'S Hospital Current Accepting new patients
Ophthalmic Physicians, Inc Ophthalmology Past Accepting new patients
Retina Associates of Cleveland Past Accepting new patients

Locations

1 Park West Blvd
Ste 150
Akron, OH 44320
Phone (330) 864-8060

224 W Exchange St
Ste 330
Akron, OH 44302
Phone (330) 436-3150

24075 Commerce Park
Beachwood, OH 44122
Phone (216) 831-5700

4690 Munson St NW
Canton, OH 44718
Phone (330) 966-9800

3401 Enterprise Pkwy
Ste 300
Cleveland, OH 44122
Phone (216) 831-5700

2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132

14725 Detroit Ave
Ste 200
Lakewood, OH 44107
Phone (216) 221-2878

6100 S Broadway
Ste 200
Lorain, OH 44053

9485 Mentor Ave
Ste 110
Mentor, OH 44060
Phone (440) 204-4444

15299 Bagley Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 663-0022

2600 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-6181

5202 Timber Commons Dr
Sandusky, OH 44870

3893 E Market St
Warren, OH 44484
Phone (330) 856-4000

4350 Crocker Rd
Ste 200
Westlake, OH 44145
Phone (440) 835-0060

5390 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-8777

10 Dutton Dr
Youngstown, OH 44502
Phone (330) 746-7691

Interoperability endpoints

  • Direct secure messaging: dmiller122085@direct.chmca.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dmiller387489@ehrdirect.uhhospitals.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1992799191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227341",
            "telephone_number": "216-831-5700",
            "fax_number": "216-831-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY",
            "address_2": "SUITE 300",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227341",
            "telephone_number": "216-831-5700",
            "fax_number": "216-831-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "35-074140",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-07-4140-M",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059561",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE NUMBER",
            "identifier": "35-07-4140-M",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.