Individual provider Active NPI

Elijah Gaylen Miller, DO

  • Orthopaedic Surgery Physician
  • Dakota Dunes, SD
National Provider Identifier
1386191682
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15502 Issued in SD
Practice address
575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
Phone
(605) 217-2667
Fax
(605) 217-2900
NPI assigned
Sep 2, 2016
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2942 NE
Orthopaedic Surgery Physician 207X00000X 15502 SD Primary
Orthopaedic Surgery Physician 207X00000X DO-05701 IA

Addresses

Primary practice location

575 N Sioux Point Road
Dakota Dunes, SD 57049-5312

Mailing address

575 N Sioux Point Road
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

Other practice location 1

201 NW RD Mize Road
Blue Springs, MO 64014
Phone (816) 655-5426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, SD, NE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210614001666 IA Practitioner - Orthopedic Surgery 4981004900 Reassigns benefits to 5 organizations
I20240725003716 SD Practitioner - Orthopedic Surgery 4981004900 Reassigns benefits to 1 organization
I20240725004522 NE Practitioner - Orthopedic Surgery 4981004900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Stewart Memorial Community HospitalGroup PAC ID 4486563707, shared by 6 NPIs, 36 clinicians
Cnos PCGroup PAC ID 4284548942, 98 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

1301 W Main St
Lake City, IA 51449-1585
Phone (712) 464-3171

201 E 4TH St
South Sioux City, NE 68776-9916
Phone (605) 217-2667

2735 Outer Dr N
Cnos Northside
Sioux City, IA 51104-1590
Phone (712) 224-5692

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone (605) 217-2667

804 Kenyon Rd
Suite 320
Fort Dodge, IA 50501-5742
Phone (515) 574-8333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement19
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05701IAMDOrthopaedic Surgery Physician
15502SDMDOrthopaedic Surgery Physician
2942NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stewart Memorial Community Hospital CurrentSince Jan 1, 2024 Accepting new patients
Stewart Memorial Community Hospital CurrentSince Jul 1, 2025 Accepting new patients
Trinity Regional Medical Center Orthopaedic Surgery CurrentSince Jul 7, 2021 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Stewart Memorial Community Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jul 7, 2021 Accepting new patients
Cnos, PC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Stewart Memorial Community Hospital CurrentSince Jan 1, 2024 Accepting new patients
Cnos PC Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Stewart Memorial Community Hospital Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

800 Kenyon Rd
Ste T
Fort Dodge, IA 50501
Phone (515) 574-6845

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

804 Kenyon Rd
Ste 320
Fort Dodge, IA 50501
Phone (515) 574-8310

101 N Main St
Holstein, IA 51025
Phone (712) 368-4547

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

1351 W Main St
Lake City, IA 51449
Phone (712) 464-7907

2735 Outer Dr N
Sioux City, IA 51104
Phone (712) 224-5692

5708 Sunnybrook Ct
Sioux City, IA 51106

201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160

201 E 4th St
Ste 202
South Sioux City, NE 68776

1200 Providence Rd
Wayne, NE 68787
Phone (402) 375-3800

575 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-2615

Interoperability endpoints

  • Direct secure messaging: elijahmiller@cnos.allscriptsdirect.net
  • Direct secure messaging: emiller826543@direct.unitypoint.org

Organizations & group practices 11

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 5

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1386191682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT ROAD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N SIOUX POINT ROAD",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495312",
            "telephone_number": "605-217-2667",
            "fax_number": "605-217-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 NW RD Mize Road",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "64014",
            "country_code": "US",
            "telephone_number": "816-655-5426",
            "fax_number": "816-655-5408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ELIJAH",
        "middle_name": "GAYLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "2942",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "15502",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "DO-05701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

Verify at the official NPI Registry.