Individual provider Active NPI

Taylor Morgan Miles, MD

  • Family Medicine Physician
  • Pontiac, IL
National Provider Identifier
1043665987
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036153522 Issued in IL
Practice address
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone
(815) 842-2828
Fax
(815) 842-4912
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11903 SD
Family Medicine Physician 207Q00000X M-2317 GU
Family Medicine Physician 207Q00000X EMTL-2022-009 GU
Family Medicine Physician 207Q00000X MED-PHYS-LIC-91574 MT
Family Medicine Physician 207Q00000X 036153522 IL Primary

Addresses

Primary practice location

2500 W Reynolds St
Pontiac, IL 61764-9774

Mailing address

2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828

Other practice location 1

172 4th St SE
Huron, SD 57350-2510
Phone (605) 353-6200

Other practice location 2

310 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (406) 751-5310

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC
Direct Messaging Address DEPTLHRevIntegrityHIMTechs@logan.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, SD, IL, PA, MT, TX, AK, GU, MP, OR10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20190123000750 OK Practitioner - Family Practice 5890032353 Reassigns benefits to 1 organization
I20200611000004 SD Practitioner - Family Practice 5890032353 Reassigns benefits to 1 organization
I20200917001357 IL Practitioner - Family Practice 5890032353 Reassigns benefits to 1 organization
I20201015001684 PA Practitioner - Family Practice 5890032353 Reassigns benefits to 1 organization
I20210119001571 MT Practitioner - Family Practice 5890032353 Reassigns benefits to 3 organizations
I20210210002254 TX Practitioner - Family Practice 5890032353 Reassigns benefits to 3 organizations
I20210304001341 AK Practitioner - Family Practice 5890032353 Reassigns benefits to 1 organization
I20210615002076 GU Practitioner - Internal Medicine 5890032353 Reassigns benefits to 1 organization
I20221027002057 MP Practitioner - Internal Medicine 5890032353 Reassigns benefits to 1 organization
I20240115001468 OR Practitioner - Family Practice 5890032353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians
St Peters HealthGroup PAC ID 7911814926, shared by 10 NPIs, 206 clinicians
Hospital Medicine of Ak LLCGroup PAC ID 5395100598, 35 clinicians
Kalispell Regional Medical Center IncGroup PAC ID 5294644381, 422 clinicians

Practice addresses (Care Compare)

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-3613

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 557-2136

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 457-4180

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-6488

Hospital & facility affiliations

  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
  • Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
EMTL-2022-009GUMDFamily Medicine Physician
M-2317GUMDFamily Medicine Physician
11903SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine of Ak, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Upmc Altoona CurrentSince Aug 1, 2020 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 13, 2021 Accepting new patients
DHHS IHS Phoenix CurrentSince Jan 20, 2021 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 20, 2020 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Dec 25, 2020 Accepting new patients
Kalispell Regional Medical Center Inc CurrentSince Dec 25, 2020 Accepting new patients
Credena Health LLC CurrentSince Aug 5, 2025 Accepting new patients
Southeast Alaska Regional Health Consortium CurrentSince Sep 13, 2021 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Apr 11, 2022 Accepting new patients
Commonwealth Healthcare Corporation Current Accepting new patients
Huron Regional Medical Center Inc CurrentSince Mar 30, 2020 Accepting new patients
Providence St Joseph Medical Center CurrentSince Aug 5, 2025 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jan 12, 2024 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince May 3, 2021 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Jul 24, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 1, 2024 Accepting new patients
Commonwealth Healthcare Corporation CurrentSince May 3, 2021 Accepting new patients
Upmc Altoona CurrentSince Aug 1, 2020 Accepting new patients
Huron Regional Medical Center, Inc CurrentSince Mar 30, 2020 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Providence Health & Services Oregon CurrentSince Feb 1, 2024 Accepting new patients
Providence St Joseph Medical Center Family Medicine CurrentSince Aug 5, 2025 Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients
Southeast Alaska Regional Health Consortium Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Glacier Regional Pathology, LTD. Current Accepting new patients
Huron Laboratory SVC PC Current Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Dec 3, 2018 Accepting new patients
St. John Physicians, Inc CurrentSince Dec 3, 2018 Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients

Locations

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000

222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

534 Oregon Ave SE
Huron, SD 57350
Phone (605) 353-7660

172 4th St SE
Huron, SD 57350
Phone (605) 353-6593

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: upmchospitals@upmcdirect.com

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1043665987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649774",
            "telephone_number": "815-842-2828",
            "fax_number": "815-842-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617649774",
            "telephone_number": "815-842-2828",
            "fax_number": "815-842-4912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "172 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Huron",
            "state": "SD",
            "postal_code": "573502510",
            "country_code": "US",
            "telephone_number": "605-353-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "406-751-5310",
            "fax_number": "406-751-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "TAYLOR",
        "middle_name": "MORGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "11903",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "M-2317",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GU",
            "license": "EMTL-2022-009",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-91574",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036153522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DEPTLHRevIntegrityHIMTechs@logan.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "310 Sunnyview Ln",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pontiac, IL

Sources for this page

Verify at the official NPI Registry.