NPIMap

Individual provider Active NPI

Patrick S Miller, MD

  • Emergency Medicine Physician
  • Westminster, CO
National Provider Identifier
1285695569
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
37285 Issued in CO
Practice address
11613 Shoshone Way
Westminster, CO 80234-2630
Phone
(303) 880-0466
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 37285 CO Primary

Addresses

Primary practice location

11613 Shoshone Way
Westminster, CO 80234-2630

Mailing address

11613 Shoshone Way
Westminster, CO 80234-2630
Phone (303) 880-0466

Other identifiers 1

IdentifierTypeStateIssuer
92503233MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emergencydepartment@direct.hrrmc.net Salida Hospital District

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101104000264 CO Practitioner - Family PracticePractitioner - Emergency Medicine 1456370600 Reassigns benefits to 3 organizations
I20141209000493 NE Practitioner - Family Practice 1456370600 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ogallala Community HospitalGroup PAC ID 3072517523, 11 clinicians

Practice addresses (Care Compare)

2601 N Spruce St
Banner Health Clinic
Ogallala, NE 69153-2465
Phone (308) 284-3645

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37285COMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salida Hospital District Current Accepting new patients
Salida Hospital District CurrentSince Jun 12, 2023 Accepting new patients
East Morgan County Hospital CurrentSince Oct 28, 2015 Accepting new patients
Ogallala Community Hospital CurrentSince Sep 27, 2014 Accepting new patients
East Morgan County Hospital CurrentSince Oct 28, 2015 Accepting new patients
Salida Hospital District CurrentSince Jun 12, 2023 Accepting new patients
Ogallala Community Hospital CurrentSince Sep 27, 2014 Accepting new patients

Locations

909 E Railroad Ave
Fort Morgan, CO 80701
Phone (970) 542-4700

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

2601 N Spruce St
#A
Ogallala, NE 69153
Phone (308) 284-4011

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

Organizations & group practices 9

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 3

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1285695569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11613 SHOSHONE WAY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342630",
            "telephone_number": "303-880-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11613 SHOSHONE WAY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342630",
            "telephone_number": "303-880-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PATRICK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "37285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92503233",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergencydepartment@direct.hrrmc.net",
            "affiliation": "Y",
            "affiliationName": "Salida Hospital District",
            "address_1": "1000 Rush Dr",
            "city": "Salida",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812019627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.