NPIMap

Individual provider Active NPI

Ryan Ned Miller, D.O.

  • Orthopaedic Surgery Physician
  • Pocatello, ID
National Provider Identifier
1073877213
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
O-1148 Issued in ID
Practice address
444 Hospital Way Ste 710
Pocatello, ID 83201
Phone
(208) 235-4263
Fax
(208) 233-4268
NPI assigned
Jul 3, 2012
Last updated
Dec 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X O-1148 ID Primary
Orthopaedic Hand Surgery Physician 207XS0106X O-1148 ID

Addresses

Primary practice location

444 Hospital Way Ste 710
Pocatello, ID 83201

Mailing address

444 Hospital Way Ste 710
Pocatello, ID 83201-2717
Phone (435) 760-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702002087 ID Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 9537468558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Regional Hand and Upper Extremity Center PLLCGroup PAC ID 6709011885, 4 clinicians

Practice addresses (Care Compare)

444 Hospital Way
Suite 710
Pocatello, ID 83201-2717
Phone (208) 235-4263

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)17
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O-1148IDMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Regional Hand & Upper Extremity Center PLLC Hand Surgery CurrentSince Aug 1, 2018 Accepting new patients
BMH, Inc. Current Accepting new patients
BMH, Inc. CurrentSince Jan 24, 2019 Accepting new patients
BMH, Inc. CurrentSince Jan 24, 2019 Accepting new patients
Idaho Orthopedic & Sports Clinic PA PastSince Aug 1, 2018 Accepting new patients

Locations

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

444 Hospital Way
Ste 710
Pocatello, ID 83201
Phone (208) 234-4263

777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000

Interoperability endpoints

  • Direct secure messaging: rmiller261993@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1073877213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 710",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012717",
            "telephone_number": "435-760-0004",
            "fax_number": "208-233-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 HOSPITAL WAY STE 710",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-235-4263",
            "fax_number": "208-233-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYAN",
        "middle_name": "NED",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ID",
            "license": "O-1148",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "ID",
            "license": "O-1148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.