Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Eitan Miller, MD

Individual provider Plastic Surgery Physician · NPI 1114452505

Jonathan Eitan Miller, MD is a Plastic and Reconstructive Surgery in Springfield, Massachusetts. Qualified in 2017, 9 years ago. Practices with Baystate Medical Practices Inc, a 1,346-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Licensed in
MA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Medical Center Dr Ste 206
Springfield, MA 01107-1270
Phone: (413) 794-5363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 1018092 (MA)

Record details

NPI number1114452505
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 6, 2024
Mailing address280 Chestnut Street, 2nd Fl, Springfield, MA 01199-1001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Baystate Medical Practices Inc — 1346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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