Active NPI
Mark Leland Miller, MD
- Pediatric Orthopaedic Surgery Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- MD229197
- Practice address
- 3101 SW Sam Jackson Park Rd Ste 1B
Portland, OR 97239-3095 - Phone
- (503) 221-3424
- Fax
- (503) 221-3490
- NPI assigned
- Jul 26, 2008
- Last updated
- Apr 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD229197 | OR | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | MD229197 | OR | Primary |
Addresses
Primary practice location
3101 SW Sam Jackson Park Rd Ste 1B
Portland, OR 97239-3095
Mailing address
3101 SW Sam Jackson Park Rd
Portland, OR 97239-3095
Phone (503) 221-3424
Other practice location 1
9135 SW Barnes Rd Ste 763
Portland, OR 97225-6777
Phone (503) 216-6560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Harvard Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 SW 5TH Ave FL
Suite 5
Portland, OR 97201-5509
PO
Pasadena, CA 91110
PO
Suite 4180
Pasadena, CA 91110-4180
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD229197 | OR | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Pediatric Orthopaedic Surgery | Current | Accepting new patients |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| Washington University | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
1 Childrens Pl
#4S60
Saint Louis, MO 63110
1 Childrens Pl
Ste 1B
Saint Louis, MO 63110
Phone (314) 454-6062
4400 Clayton Ave
Saint Louis, MO 63110
Phone (314) 432-3600
4921 Parkview Pl
Ste 6A6B12A
Saint Louis, MO 63110
Phone (314) 747-2551
660 S Euclid Ave
#8233
Saint Louis, MO 63110
Phone (314) 747-2494
660 S Euclid Ave
#C
Saint Louis, MO 63110
3101 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 221-3424
3101 SW Sam Jackson Park Rd
Ste 1B
Portland, OR 97239
Phone (503) 221-3424
Networks
- IA HMO C-SNP
- IA HMO
Interoperability endpoints
- mmiller155631@direct.carenet.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Orthopaedic Surgery Physician
- Saint Louis, MO
- NPI 1275970295
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679516033
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
dba Shriners Children's Hawaii
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1922597640
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Children's Hospital
- Saint Louis, MO
- NPI 1942343447
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1134169568
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1053576215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393095",
"telephone_number": "503-221-3424",
"fax_number": "503-221-3490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 SW SAM JACKSON PARK RD STE 1B",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393095",
"telephone_number": "503-221-3424",
"fax_number": "503-221-3490"
}
],
"practiceLocations": [
{
"address_1": "9135 SW Barnes Rd Ste 763",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972256777",
"country_code": "US",
"telephone_number": "503-216-6560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MARK",
"middle_name": "LELAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-26",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD229197",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "OR",
"license": "MD229197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.