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

Mark L Miller, DO

Individual provider Family Medicine Physician · NPI 1558474130

Mark L Miller, DO is a Family Practice in Louisville, Kentucky. Graduated from Ohio State University College of Homeopathic Medicine in 2002, 24 years ago. Practices with Centerwell Senior Primary Care Ky PSC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
24
Trained at
Ohio State University College of Homeopathic Medicine
Licensed in
KY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4521 Outer Loop
Louisville, KY 40219-3856
Phone: (502) 653-5206
Fax: (877) 688-0102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 329 Floyd Dr, Carrollton, KY 41008-8261 — (502) 732-1082

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 02963 (KY)

Record details

NPI number1558474130
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF HOMEOPATHIC MEDICINE
Graduated 2002 (24 years in practice)
Group practice Centerwell Senior Primary Care Ky Psc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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