Individual provider Active NPI

Caleb S Miller, MD

  • Urology Physician
  • Omaha, NE
National Provider Identifier
1093379562
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
36180 Issued in NE
Practice address
10707 Pacific St Ste 101
Omaha, NE 68114-4762
Phone
(402) 397-7989
Fax
(402) 393-7554
NPI assigned
Apr 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 36180 NE Primary

Addresses

Primary practice location

10707 Pacific St Ste 101
Omaha, NE 68114-4762

Mailing address

PO Box 8577
Omaha, NE 68108-0577
Phone (402) 397-7989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240827004471 IA Practitioner - Urology 0244566024 Reassigns benefits to 2 organizations
I20240828001527 NE Practitioner - Urology 0244566024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Saint Louis University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

3434 W Broadway
102 Urohealth Partners
Council Bluffs, IA 51501-3291
Phone (712) 325-0014

Hospital & facility affiliations

  • Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376
  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040
  • Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
  • CHI Health Lakeside Hospital, Omaha, NE, CCN 280130
  • Adair County Memorial Hospital Hospital, Greenfield, IA, CCN 161310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36180NEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center PC Urology CurrentSince Jul 1, 2025 Accepting new patients
Urology Center, PC Urology CurrentSince Jul 1, 2025 Accepting new patients
Urology Center PC Urology CurrentSince Aug 1, 2024 Accepting new patients
Adult & Pediatric Urology, PC Urology CurrentSince Aug 1, 2024 Accepting new patients

Locations

3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

10707 Pacific St
Ste 101
Omaha, NE 68114

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4
  • Direct secure messaging: caleb.miller.p1@direct.tuc.nextgenshare.com

Organizations & group practices 4

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 5

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": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1093379562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8577",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681080577",
            "telephone_number": "402-397-7989",
            "fax_number": "402-393-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 PACIFIC ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144762",
            "telephone_number": "402-397-7989",
            "fax_number": "402-393-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CALEB",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "36180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.