Individual provider Active NPI

Daniel Sivert Miller, MD

  • Ophthalmology Physician
  • Waterloo, IA
National Provider Identifier
1427098466
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
34049 Issued in IA
Practice address
909 E San Marnan Drive
Waterloo, IA 50702-5611
Phone
(319) 234-2616
Fax
(319) 234-1939
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34049 IA Primary

Addresses

Primary practice location

909 E San Marnan Drive
Waterloo, IA 50702-5611

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 234-2616

Other identifiers 3

IdentifierTypeStateIssuer
0234120MedicaidIA
421417307E9OtherIAJOHN DEERE HEALTH INS
26686OtherIAWELLMARK INS PLAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address daniel.miller@cvms.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000136 IA Practitioner - Ophthalmology 2668523424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

909 E San Marnan Dr
Waterloo, IA 50702-5611
Phone (319) 233-2020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery308
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Cedar Valley Medical Specialists PC Ophthalmology CurrentSince May 4, 2001 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince May 4, 2001 Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients

Locations

1409 W 1st St
Cedar Falls, IA 50613
Phone (319) 268-2020

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

909 E San Marnan Dr
Waterloo, IA 50702
Phone (319) 233-2020

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390

Interoperability endpoints

  • Direct secure messaging: dmiller3934847@direct.trinity-health.org
  • Direct secure messaging: dmiller117714@direct.unitypoint.org

Organizations & group practices 4

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 4

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1427098466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-234-2616",
            "fax_number": "319-234-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E SAN MARNAN DRIVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025611",
            "telephone_number": "319-234-2616",
            "fax_number": "319-234-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANIEL",
        "middle_name": "SIVERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "34049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234120",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH INS",
            "identifier": "421417307E9",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "26686",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "daniel.miller@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "909 E San Marnan Drive",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507025611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.