Individual provider Active NPI

Sondra Lynn Miles, MD

  • Internal Medicine Physician
  • Greeley, CO
National Provider Identifier
1174849962
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A119423 Issued in CA
Practice address
1801 16TH St
Greeley, CO 80631
Phone
(970) 810-4121
NPI assigned
Apr 19, 2010
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A119423 CA Primary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X DR.0060598 CO

Addresses

Primary practice location

1801 16TH St
Greeley, CO 80631

Mailing address

5608 Bluff LN
Loveland, CO 80537-2921
Phone (661) 860-6357

Other practice location 1

516 East Nizhoni Blvd.
Gallup, NM 87301-1337
Phone (505) 722-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131217001452 TX Practitioner - Internal Medicine 6507093606 Reassigns benefits to 2 organizations
I20170523002038 CA Practitioner - Internal Medicine 6507093606 Reassigns benefits to 1 organization
I20180710000642 CO Practitioner - Hospice/Palliative Care 6507093606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
University of California, San Francisco School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Front Range, Inc.Group PAC ID 6800799537, 20 clinicians

Practice addresses (Care Compare)

3210 Lutheran Pkwy
Wheat Ridge, CO 80033-6019
Phone (303) 425-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A119423CAMDInternal Medicine Physician
DR.0060598COMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Medical Center, LLC Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Intermountain Front Range, Inc. Internal Medicine Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 10, 2013 Accepting new patients
Good Samaritan Medical Center, LLC CurrentSince Jul 11, 2022 Accepting new patients
Tuba City Regional Health Care Corporation Internal Medicine Current Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Scripps Health Current Accepting new patients
Intermountain Front Range, Inc. CurrentSince Jul 25, 2022 Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. CurrentSince Jun 30, 2017 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Mar 21, 2016 Accepting new patients
Lechee Health Facility Internal Medicine CurrentSince Mar 21, 2016 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Sep 10, 2013 Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

500 Discovery Pkwy
Ste 100
Superior, CO 80027
Phone (303) 403-7800

3210 Lutheran Pkwy
Wheat Ridge, CO 80033
Phone (303) 425-8000

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16660/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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 1

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1174849962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 BLUFF LN",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805372921",
            "telephone_number": "661-860-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "80631",
            "telephone_number": "970-810-4121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 East Nizhoni Blvd.",
            "address_purpose": "LOCATION",
            "city": "Gallup",
            "state": "NM",
            "postal_code": "873011337",
            "country_code": "US",
            "telephone_number": "505-722-1000",
            "fax_number": "505-726-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "SONDRA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A119423",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CO",
            "license": "DR.0060598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.