Individual provider Active NPI

Marc L Miller, DO

  • Surgery Physician
  • Columbia, MO
National Provider Identifier
1023061413
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2001014935 Issued in MO
Practice address
115 Business Loop 70 W
Columbia, MO 65203-3244
Phone
(573) 882-8454
Fax
(573) 884-6054
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2001014935 MO Primary

Addresses

Primary practice location

115 Business Loop 70 W
Columbia, MO 65203-3244

Mailing address

PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259

Other identifiers 1

IdentifierTypeStateIssuer
P00415656OtherMORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20080522000390 IA Practitioner - General Surgery 7416055108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians
Stewart Memorial Community HospitalGroup PAC ID 4486563707, 36 clinicians

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Suite 411
Des Moines, IA 50316-2367
Phone (515) 263-5434

1301 W Main St
Lake City, IA 51449-1585
Phone (712) 464-3171

Hospital & facility affiliations

  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy16
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)20
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Stewart Memorial Community Hospital CurrentSince May 15, 2025 Accepting new patients
St Anthony Regional Hospital and Nursing Home Current Accepting new patients
Stewart Memorial Community Hospital CurrentSince May 15, 2025 Accepting new patients
Stewart Memorial Community Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Surgery CurrentSince Oct 29, 2018 Accepting new patients
Wellendorf ENT, P.C. PastSince Sep 4, 1996 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

311 S Clark St
Ste 280
Carroll, IA 51401
Phone (712) 220-7069

405 S Clark St
Ste 215
Carroll, IA 51401
Phone (712) 792-0480

405 S Clark St
Ste 100
Carroll, IA 51401
Phone (712) 792-1500

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021

1301 Pennsylvania Ave
Ste 411
Des Moines, IA 50316
Phone (515) 263-9107

804 Kenyon Rd
Ste 201
Fort Dodge, IA 50501
Phone (515) 574-6865

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

6600 Westown Pkwy
Ste 220
West Des Moines, IA 50266
Phone (515) 241-2250

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.236
  • Direct secure messaging: mmiller167767@direct.unitypoint.org

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1023061413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7687",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652057687",
            "telephone_number": "573-882-2259",
            "fax_number": "573-884-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BUSINESS LOOP 70 W",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033244",
            "telephone_number": "573-882-8454",
            "fax_number": "573-884-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARC",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2001014935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00415656",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.