Individual provider Active NPI

Peter D. Miller, M.D.

  • Vascular & Interventional Radiology Physician
  • South Bend, IN
National Provider Identifier
1295991081
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
01068029A Issued in IN
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201107820MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, MO, IL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140716000581 MI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1850537697 Reassigns benefits to 10 organizations
I20160526001186 IN Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1850537697 Reassigns benefits to 6 organizations
I20231025003087 MO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1850537697 Reassigns benefits to 1 organization
I20231102001850 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1850537697 Reassigns benefits to 1 organization

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
X-Ray Consultants IncGroup PAC ID 7315859832, 38 clinicians
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Huron Valley Radiology PCGroup PAC ID 2961466859, 76 clinicians
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal18
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01068029AINMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blessing Hospital CurrentSince Sep 24, 2023 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Blessing Hospital CurrentSince Sep 24, 2023 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Nov 15, 2023 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Sep 5, 2024 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Aug 25, 2022 Accepting new patients
Michiana Interventional and Vascular Services, LLC Vascular & Interventional Radiology CurrentSince Aug 4, 2022 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Aug 25, 2022 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Current Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jun 1, 2023 Accepting new patients
Huron Valley Radiology PC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Aug 19, 2023 Accepting new patients
Hurley Medical Center CurrentSince May 9, 2023 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince May 12, 2023 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
X-Ray Consultants Inc Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Dec 17, 2023 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc CurrentSince Mar 11, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Mar 11, 2022 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince May 3, 2023 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince May 9, 2023 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

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod
  • Direct secure messaging: 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.

View all 25

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.