Active NPI
Lee Patrick Miller, MD
- Plastic and Reconstructive Surgery Physician
- Sioux Falls, SD
National Provider Identifier
1285613331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 4092
- Practice address
- 4201 South Minnesota Avenue
Ste 112
Sioux Falls, SD 57105-6706 - Phone
- (605) 335-3349
- Fax
- (605) 336-8436
- NPI assigned
- Jan 16, 2006
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 4092 | SD | Primary |
Addresses
Primary practice location
4201 South Minnesota Avenue
Ste 112
Sioux Falls, SD 57105-6706
Mailing address
4201 South Minnesota Avenue
Ste 112
Sioux Falls, SD 57105-6706
Phone (605) 335-3349
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0919563 | Medicaid | IA | |
| 124216400 | Medicaid | MN | |
| 10025286300 | Medicaid | NE | |
| 240005059 | Other | RAILROAD MEDICARE | |
| 7301460 | Medicaid | SD |
Other names 1
- L. Patrick Miller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery Associates of South Dakota, LTD | Current | Accepting new patients | |
| Upper Midwest Medical Inc | Current | Accepting new patients |
Locations
911 E 20th St
Ste 602
Sioux Falls, SD 57105
Phone (605) 335-3346
4201 S Minnesota Ave
Ste 112
Sioux Falls, SD 57105
Phone (602) 232-9720
Organizations & group practices 2
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.
-
- Plastic Surgery Physician
- Sioux Falls, SD
- NPI 1457389199
-
- Surgery Physician
- Sioux Falls, SD
- NPI 1235796533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308528000000",
"number": "1285613331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 SOUTH MINNESOTA AVENUE",
"address_2": "STE 112",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571056706",
"telephone_number": "605-335-3349",
"fax_number": "605-336-8436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 SOUTH MINNESOTA AVENUE",
"address_2": "STE 112",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571056706",
"telephone_number": "605-335-3349",
"fax_number": "605-336-8436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LEE",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2011-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "SD",
"license": "4092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0919563",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124216400",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025286300",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "240005059",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7301460",
"state": "SD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "L.",
"last_name": "MILLER",
"middle_name": "PATRICK",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.