Active NPI
Peter D. Miller, M.D.
- Vascular & Interventional Radiology Physician
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 01068029A
- Practice address
- 100 Navarre PL Ste 5500
South Bend, IN 46601-1172 - Phone
- (574) 647-5200
- Fax
- (574) 647-5210
- NPI assigned
- Aug 1, 2008
- Last updated
- Jul 24, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036164494 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 01068029A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 2023032999 | MO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01068029A | IN | Primary |
Addresses
Primary practice location
100 Navarre PL Ste 5500
South Bend, IN 46601-1172
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725
Other practice location 1
121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (574) 233-3123
Other practice location 2
1919 Lake Ave Ste 107
Plymouth, IN 46563-7830
Phone (574) 968-0358
Other practice location 3
611 E Douglas Rd Ste 207
Mishawaka, IN 46545-1465
Phone (574) 272-5347
Other practice location 4
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201107820 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Niles, MI 49120
1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-9000
100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400
121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (219) 233-3123
3863 Honors Way
Howell, MI 48843-7494
Phone (336) 274-6682
5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000
611 E Douglas Rd
Mishawaka, IN 46545-1465
Phone (574) 335-6060
6583 Cross Creek Dr
Washington, MI 48094-2814
Phone (888) 522-4514
Niles, MI 49120-5900
Phone (219) 767-6320
927 Broadway St
Quincy, IL 62301-2719
Phone (217) 224-6423
Hospital & facility affiliations
- Saint Joseph Regional Medical Center
- Saint Joseph Regional Medical Center - Plymouth
- Owensboro Health Regional Hospital
- Hurley Medical Center
- Memorial Hospital of South Bend
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 18 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01068029A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Coastal Radiology Associates, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Michigan PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Michiana Interventional and Vascular Services, LLC | Vascular & Interventional Radiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center, Inc. | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Huron Valley Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc | Current | Accepting new patients | |
| X-Ray Consultants Inc | Diagnostic Radiology | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Current | Accepting new patients | |
| Saint Joseph Regional Medical Center-South Bend Campus, Inc. | Current | Accepting new patients | |
| Specialists in Medical Imaging SC | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Diagnostic Radiology | Current | Accepting new patients |
| Hurley Medical Center | Current | Accepting new patients | |
| Radiology Associates of Southwest Louisiana | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Associates of Canton, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 52)
1937 Momentum Pl
Chicago, IL 60689
1005 Broadway St
Quincy, IL 62301
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
2020 Meridian St
Ste 150
Anderson, IN 46016
Phone (765) 646-8663
9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980
4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777
10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273
13250 Hazel Dell Pkwy
Ste 104
Carmel, IN 46033
Phone (317) 415-6117
13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474
13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
13914 Southeastern Pkwy
Ste 101
Fishers, IN 46037
Phone (317) 338-9595
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-3070
8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921
8301 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 415-6693
8414 Naab Rd
Ste 130
Indianapolis, IN 46260
Phone (317) 338-7687
8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540
8550 Naab Rd
Ste 110
Indianapolis, IN 46260
Phone (317) 338-2041
8550 Naab Rd
Ste 300
Indianapolis, IN 46260
Phone (317) 338-9590
8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
305 S Berkley Rd
Kokomo, IN 46901
Phone (317) 457-4800
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
- pmiller1147600@direct.trinity-health.org
Organizations & group practices 25
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.
-
dba Saint Joseph Medical Group
- Pulmonary Disease Physician
- Plymouth, IN
- NPI 1225082878
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
- Diagnostic Radiology Physician
- Marquette, MI
- NPI 1164943007
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
MI
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
MI
-
- Vascular & Interventional Radiology Physician
- Mishawaka, IN
- NPI 1386375194
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
-
- General Acute Care Hospital
- Plymouth, IN
- NPI 1174571129
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
-
- General Acute Care Hospital
- Flint, MI
- NPI 1598717480
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1295991081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NAVARRE PL STE 5500",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466011172",
"telephone_number": "574-647-5200",
"fax_number": "574-647-5210"
}
],
"practiceLocations": [
{
"address_1": "121 S Saint Louis Blvd",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466172924",
"country_code": "US",
"telephone_number": "574-233-3123",
"fax_number": "574-233-3125",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 Lake Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Plymouth",
"state": "IN",
"postal_code": "465637830",
"country_code": "US",
"telephone_number": "574-968-0358",
"fax_number": "574-272-8617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "611 E Douglas Rd Ste 207",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465451465",
"country_code": "US",
"telephone_number": "574-272-5347",
"fax_number": "574-272-8617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5215 Holy Cross Pkwy",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465451469",
"country_code": "US",
"telephone_number": "574-335-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "PETER",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-01",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036164494",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01068029A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2023032999",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01068029A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201107820",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.