Active NPI
Andrew Tyler Miller, MD
- Diagnostic Radiology Physician
- Waconia, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 66523
- Practice address
- 500 S Maple St
Waconia, MN 55387-1791 - Phone
- (952) 442-2191
- NPI assigned
- Aug 1, 2014
- Last updated
- May 9, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 66523 | MN | Primary |
Addresses
Primary practice location
500 S Maple St
Waconia, MN 55387-1791
Mailing address
500 S Maple St
Waconia, MN 55387-1791
Phone (952) 442-2191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
- 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
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hundertmark Rd
Chaska, MN 55318-4551
Phone (952) 856-4001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Community Hospital, Inc. | Current | Accepting new patients | |
| Minnesota Valley Health Center Inc | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| St Francis Regional Medical Center | Current | Accepting new patients | |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Stevens Community Medical Center Inc. | Current | Accepting new patients | |
| St. Francis Regional Medical Center | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Glencoe Regional Health Services | Current | Accepting new patients | |
| Glencoe Regional Health Services | Current | Accepting new patients | |
| Ridgeview Medical Center | Current | Accepting new patients | |
| Mankato Clinic LTD | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Stevens Community Medical Center Inc | Current | Accepting new patients | |
| Noran Neurological Clinic P.a. | Current | Accepting new patients | |
| Minnesota Valley Health Center Inc | Current | Accepting new patients | |
| Sibley Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Ridgeview Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Mercy Home Care | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Warren Community Hospital, Inc. | Current | Accepting new patients | |
| Allina Health System | Current | Accepting new patients | |
| Consulting Radiologists, LTD | Diagnostic Radiology | Past | Accepting new patients |
| Quest Diagnostics LLC Il | Past | Accepting new patients |
Locations
3369 Solutions Ctr
Chicago, IL 60677
440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225
601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271
7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570
111 Hundertmark Rd
Chaska, MN 55318
Phone (952) 361-2447
111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400
1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121
265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200
621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375
121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255
1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502
2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640
3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
400 E 1st St
Morris, MN 56267
Phone (320) 589-1313
1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200
500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191
300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211
1301 15th Ave W
Williston, ND 58801
Phone (701) 774-7400
Organizations & group practices 25
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.
-
dba Ridgeview Medical Center CRNAs
- Certified Registered Nurse Anesthetist
- Waconia, MN
- NPI 1528364429
-
dba Allina Health Buffalo Specialty Clinic
- Obstetrics & Gynecology Physician
- Buffalo, MN
- NPI 1295272342
-
dba Allina Health Annandale Clinic
- Family Medicine Physician
- Annandale, MN
- NPI 1457657249
-
- Critical Access Hospital
- Glencoe, MN
- NPI 1508885633
-
- Critical Access Hospital
- Le Sueur, MN
- NPI 1730248907
-
- Specialist
- Bloomington, MN
- NPI 1710098306
-
dba Ridgeview Sibley Medical Center
- Critical Access Hospital
- Arlington, MN
- NPI 1740240225
-
dba St. Francis Urgent Care - Southbridge
- Urgent Care Clinic/Center
- Shakopee, MN
- NPI 1447605514
-
dba North Valley Health Center
- Critical Access Hospital
- Warren, MN
- NPI 1073516357
-
- Psychiatry Physician
- Williston, ND
- NPI 1801928593
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Glencoe, MN
- NPI 1508885633
-
- General Acute Care Hospital
- Waconia, MN
- NPI 1275608457
-
- General Acute Care Hospital
- Chaska, MN
- NPI 1710748538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1083022198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S MAPLE ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871791",
"telephone_number": "952-442-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S MAPLE ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871791",
"telephone_number": "952-442-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ANDREW",
"middle_name": "TYLER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-01",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "66523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waconia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.