Active NPI
Jared David Miller, MD
- Clinical Cardiac Electrophysiology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD187656
- Practice address
- 5121 S Cottonwood St
Salt Lake City, UT 84107-5701 - Phone
- (801) 507-3500
- Fax
- (801) 507-3505
- NPI assigned
- Oct 26, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD187656 | OR | |
| Cardiovascular Disease Physician | 207RC0000X | MD187656 | OR | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD187656 | OR | Primary |
Addresses
Primary practice location
5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Mailing address
5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Phone (801) 507-3500
Other practice location 1
300 Pasteur Dr Rm S101
Stanford, CA 94305-2200
Phone (650) 498-4556
Other practice location 2
3303 SW Bond Ave Ste 9
Portland, OR 97239
Phone (503) 494-7400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Washington University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5169 S Cottonwood St
Suite 510
Murray, UT 84107-6767
Phone (801) 507-3513
Hospital & facility affiliations
- Intermountain Medical Center
- Intermountain Health Alta View Hospital
- LDS Hospital
- Intermountain Health Heber Valley Hospital
- Intermountain Health Riverton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Ihc Health Services Inc | Cardiovascular Disease | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000
3741 W 12600 S
Ste 120
Riverton, UT 84065
5169 S Cottonwood St
Ste 510
Salt Lake City, UT 84107
Phone (801) 507-3584
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
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.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Emergency Medicine Physician
- North Ogden, UT
- NPI 1033240460
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Multi-Specialty Clinic/Center
- Orem, UT
- NPI 1588601124
-
- Cardiovascular Disease Physician
- Murray, UT
- NPI 1982833398
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
- Critical Access Hospital
- Heber City, UT
- NPI 1316055205
-
- General Acute Care Hospital
- Sandy, UT
- NPI 1962412486
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1013293620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 S COTTONWOOD ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841075701",
"telephone_number": "801-507-3500",
"fax_number": "801-507-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5121 S COTTONWOOD ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841075701",
"telephone_number": "801-507-3500",
"fax_number": "801-507-3505"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr Rm S101",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "943052200",
"country_code": "US",
"telephone_number": "650-498-4556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3303 SW Bond Ave Ste 9",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "97239",
"country_code": "US",
"telephone_number": "503-494-7400",
"fax_number": "503-494-4749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "JARED",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-26",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD187656",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OR",
"license": "MD187656",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "OR",
"license": "MD187656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.