Active NPI
Daniel Raymond Miller, MD
- Specialist
- Lewiston, ID
National Provider Identifier
1154468775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- M-3254
- Practice address
- 321 Skyline Dr
Lewiston, ID 83501-4220 - Phone
- (208) 791-6718
- Fax
- (208) 743-0528
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | M-3254 | ID | Primary |
Addresses
Primary practice location
321 Skyline Dr
Lewiston, ID 83501-4220
Mailing address
321 Skyline Dr
Lewiston, ID 83501-4220
Phone (208) 791-6718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ,OO2456100 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100810000868 | ID | Practitioner - Otolaryngology | 9830223080 | Practice locations: Lewiston, ID |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of California, San Francisco School of Medicine, 1969
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
321 Skyline Dr
Lewiston, ID 83501-4220
Phone (208) 791-6718
Hospital & facility affiliations
- St Joseph Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 35 |
| Laminectomy or laminotomy (partial removal of spine bones) | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-3254 | ID | MD | Specialist |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154468775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 SKYLINE DR",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014220",
"telephone_number": "208-791-6718",
"fax_number": "208-743-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 SKYLINE DR",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835014220",
"telephone_number": "208-791-6718",
"fax_number": "208-743-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "DANIEL",
"middle_name": "RAYMOND",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ID",
"license": "M-3254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": ",OO2456100",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.