NPIMap

Individual provider Active NPI

Daniel H. Miller, M.D.

  • Radiation Oncology Physician
  • Idaho Falls, ID
National Provider Identifier
1447694922
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
M-14311 Issued in ID
Practice address
3100 Channing Way
Idaho Falls, ID 83404-7533
Phone
(208) 227-2700
Fax
(208) 227-2735
NPI assigned
Apr 26, 2013
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 11797A WY
Radiation Oncology Physician 2085R0001X M-14311 ID Primary

Addresses

Primary practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Mailing address

5150 S 375 E Ste 3
Washington Terrace, UT 84405-4503
Phone (801) 475-6532

Other practice location 1

625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 739-4981

Other identifiers 1

IdentifierTypeStateIssuer
154780100MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmiller@sjmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180817003158 ID Practitioner - Radiation Oncology 6406097799 Reassigns benefits to 4 organizations
I20191227000250 WY Practitioner - Radiation Oncology 6406097799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Creighton University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Utah Cancer Specialists PCGroup PAC ID 1355254749, 48 clinicians
Madison Memorial HospitalGroup PAC ID 4183949522, 20 clinicians
Teton County Hospital DistrictGroup PAC ID 4880582295, 107 clinicians

Practice addresses (Care Compare)

3245 Channing Way
Idaho Falls, ID 83404-7536
Phone (801) 262-9494

450 E Main St
Reburg, ID 83440-2048
Phone (208) 359-6516

625 E Broadway Ave
Jackson, WY 83001-8642
Phone (307) 733-3636

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11797AWYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gammawest Brachytherapy, LLC Radiation Oncology CurrentSince Jul 5, 2018 Accepting new patients
Madison Memorial Hospital CurrentSince Feb 13, 2025 Accepting new patients
Radiation Oncology Professional Associates LLC Radiation Oncology CurrentSince Jan 26, 2020 Accepting new patients
Teton County Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Utah Cancer Specialists PC Hematology & Oncology CurrentSince Dec 1, 2023 Accepting new patients
Steele Memorial Medical Center CurrentSince Feb 1, 2023 Accepting new patients
Steele Memorial Medical Center CurrentSince Feb 1, 2023 Accepting new patients
BMH, Inc. Past Accepting new patients
Utah Cancer Specialists PC Hematology & Oncology PastSince Nov 30, 2025 Accepting new patients

Locations

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

3245 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2700

450 E Main St
Rexburg, ID 83440
Phone (208) 356-3691

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

1121 E 3900 S
Ste C230
Salt Lake City, UT 84124

10808 S River Front Pkwy
Ste 400
South Jordan, UT 84095

Interoperability endpoints

  • Direct secure messaging: dmiller@sjmc.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d61ab3e4-55bb-4859-99e6-22c413b48f2a/

Organizations & group practices 9

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1447694922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 S 375 E STE 3",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844054503",
            "telephone_number": "801-475-6532",
            "fax_number": "801-475-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CHANNING WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047533",
            "telephone_number": "208-227-2700",
            "fax_number": "208-227-2735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018642",
            "country_code": "US",
            "telephone_number": "307-739-4981",
            "fax_number": "307-739-4981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANIEL",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WY",
            "license": "11797A",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ID",
            "license": "M-14311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154780100",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmiller@sjmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address for St John's Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "625 E Broadway Ave",
            "city": "Jackson",
            "state": "WY",
            "country_code": "US",
            "postal_code": "830018642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.