Amanda Barbara Miller, M.D.

Individual provider Active NPI Emergency Medicine Physician · Pleasant View, UT

NPI 1376806802 · NPPES record last updated Mar 25, 2022

Key facts

NPI
1376806802
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
12182513-1205 (UT)
Practice address
2690 600 W St
Pleasant View, UT 84414
Phone
(801) 786-7911
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
University of Vermont College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Emergency Physicians (151 clinicians)
Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

5121 S Cottonwood St
Salt Lake City, UT 84107-5701
Phone (801) 507-9700

5373 S Green St
Murray, UT 84123-4680
Phone (801) 442-5271

Hospital & facility affiliations

  • Intermountain Medical Center Hospital · Murray, UT · CCN 460010
  • Intermountain Health Layton Hospital Hospital · Layton, UT · CCN 460061
  • Intermountain Health Alta View Hospital Hospital · Sandy, UT · CCN 460044

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100 (group)
Quality
85.2
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220408001271 UT Practitioner - Emergency Medicine 2668790395 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58979MNMDEmergency Medicine Physician
R0618TXMDEmergency Medicine Physician
12182513-1205UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current
since Aug 18, 2023
Accepting new patients
Utah Emergency Physicians Emergency Medicine Current
since Jun 1, 2022
Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Emergency Physicians Integrated Care, LLC Emergency Medicine Current
since Jan 1, 2022
Accepting new patients
Ihc Health Services, Inc. Current
since Aug 18, 2023
Accepting new patients

Locations

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

201 W Layton Pkwy
Layton, UT 84041
Phone (801) 543-6000

2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911

3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400

333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415

8th Ave C St E
Salt Lake City, UT 84143
Phone (218) 929-0674

5373 S Green St
Salt Lake City, UT 84123
Phone (801) 442-2670

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58979 MN
Emergency Medicine Physician 207P00000X R0618 TX
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 12182513-1205 UT Yes

Addresses

Primary practice location

2690 600 W St
Pleasant View, UT 84414

Mailing address

333 N 300 W
Salt Lake City, UT 84103-1215
Phone (801) 463-7415

Other providers in Pleasant View, UT

All providers in Pleasant View, UT · Emergency Medicine Physician in Utah

Sources for this page

Verify at the official NPI Registry.