NPIMap

Individual provider Active NPI

Daniel Lyman Miller, MD

  • Urology Physician
  • Portland, OR
National Provider Identifier
1508032525
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD171857 Issued in OR
Practice address
10000 SE Main St
Suite 342
Portland, OR 97216-2448
Phone
(503) 255-5244
Fax
(503) 255-5120
NPI assigned
Apr 30, 2008
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD171857 OR Primary

Addresses

Primary practice location

10000 SE Main St
Suite 342
Portland, OR 97216-2448

Mailing address

541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801

Other practice location 1

501 N Graham St Ste 420
Portland, OR 97227-2006
Phone (503) 288-7303

Other identifiers 2

IdentifierTypeStateIssuer
2044426MedicaidWA
500685202MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referringaua@1243.direct.myezyaccess.com The Oregon Clinic PC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615001352 OR Practitioner - Urology 4981831633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Johns Hopkins University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Oregon Clinic, PCGroup PAC ID 2860390408, 353 clinicians

Practice addresses (Care Compare)

24900 SE Stark St
Suite 103
Gresham, OR 97030-3381
Phone (503) 288-7303

501 N Graham St
Suite 420
Portland, OR 97227-2006
Phone (503) 288-7303

5050 NE Hoyt
Suite 655
Portland, OR 97213-2990
Phone (503) 239-6673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.13 of 100Reported as individual
Quality
72.67
Promoting interoperability
91
Improvement activities
40
Cost
78.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Aug 1, 2015 Accepting new patients
The Oregon Clinic PC CurrentSince Jul 1, 2015 Accepting new patients
The Oregon Clinic, PC CurrentSince Jul 1, 2015 Accepting new patients
Providence Health & Services Oregon CurrentSince Aug 1, 2015 Accepting new patients
The Urology Clinic PC Urology PastSince Aug 1, 2002 Accepting new patients

Locations

24900 SE Stark St
Ste 103
Gresham, OR 97030
Phone (503) 665-4278

10000 SE Main St
Ste 342
Portland, OR 97216
Phone (503) 232-5020

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

501 N Graham St
Ste 420
Portland, OR 97227
Phone (503) 288-7303

5050 NE Hoyt St
Ste 655
Portland, OR 97213
Phone (503) 239-6673

541 NE 20th Ave
Ste 225
Portland, OR 97232
Phone (503) 963-2801

847 NE 19th Ave
Ste 300
Portland, OR 97232

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1508032525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 NE 20TH AVE STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322895",
            "telephone_number": "503-963-2801",
            "fax_number": "503-963-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 342",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-255-5244",
            "fax_number": "503-255-5120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Graham St Ste 420",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272006",
            "country_code": "US",
            "telephone_number": "503-288-7303",
            "fax_number": "503-288-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DANIEL",
        "middle_name": "LYMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OR",
            "license": "MD171857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044426",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500685202",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referringaua@1243.direct.myezyaccess.com",
            "affiliation": "Y",
            "affiliationName": "The Oregon Clinic PC",
            "address_1": "10000 SE Main St",
            "address_2": "Suite 342",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972162448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.