Individual provider Active NPI

Patrick Joseph Millerd, M.D.

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1326203316
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26230 Issued in NE
Practice address
Emile 42ND St
Omaha, NE 68198-1045
Phone
(402) 778-5380
Fax
(402) 778-5386
NPI assigned
Jul 19, 2008
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26230 NE Primary

Addresses

Primary practice location

Emile 42ND St
Omaha, NE 68198-1045

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102

Other identifiers 1

IdentifierTypeStateIssuer
816371MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130729000900 AZ Practitioner - Diagnostic Radiology 7810138187 Reassigns benefits to 2 organizations
I20150713001131 NE Practitioner - Diagnostic Radiology 7810138187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Practice addresses (Care Compare)

Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131008CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 20, 2020 Accepting new patients
Unmc Physicians CurrentSince Jul 1, 2015 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients

Locations (25 of 63)

2080 W Southern Ave
Bldg C
Apache Junction, AZ 85120
Phone (480) 474-5960

10815 W McDowell Rd
Ste 102
Avondale, AZ 85392
Phone (623) 423-0121

1664 E Florence Blvd
Ste 18
Casa Grande, AZ 85122
Phone (520) 421-4875

1870 W Frye Rd
Ste 3
Chandler, AZ 85224
Phone (480) 264-2350

235 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 264-2300

725 S Dobson Rd
Ste A105
Chandler, AZ 85224
Phone (480) 786-2827

2680 S Val Vista Dr
Ste 135
Gilbert, AZ 85295
Phone (480) 584-4900

875 N Greenfield Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 545-0113

5410 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 424-0935

13657 W McDowell Rd
Ste 111
Goodyear, AZ 85395
Phone (623) 302-7930

1111 S Dobson Rd
Ste 105
Mesa, AZ 85202
Phone (480) 964-4995

130 S 63rd St
Ste 123
Mesa, AZ 85206
Phone (480) 264-4900

1425 S Greenfield Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 324-8033

456 N Mesa Dr
Mesa, AZ 85201
Phone (480) 655-7517

9403 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 234-8700

13838 S 46th Pl
Ste 200
Phoenix, AZ 85044
Phone (480) 763-7278

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

2141 E Camelback Rd
Ste 110
Phoenix, AZ 85016
Phone (602) 954-0954

2502 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (480) 428-5650

2620 N 3rd St
Ste 102
Phoenix, AZ 85004
Phone (602) 234-2994

3201 W Peoria Ave
Ste B402
Phoenix, AZ 85029
Phone (602) 688-6120

4219 E Bell Rd
Phoenix, AZ 85032
Phone (480) 584-5525

5501 N 19th Ave
Ste 111
Phoenix, AZ 85015
Phone (602) 246-2490

6707 N 19th Ave
Ste 108
Phoenix, AZ 85015
Phone (602) 242-4177

790 Gail Gardner Way
Prescott, AZ 86305
Phone (928) 776-9900

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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 7

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": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1326203316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMILE 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981045",
            "telephone_number": "402-778-5380",
            "fax_number": "402-778-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLERD",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-19",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "26230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "816371",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.