Individual provider Active NPI

Ryan Edward Miller, M.D.

  • Orthopaedic Hand Surgery Physician
  • Covina, CA
National Provider Identifier
1528401031
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A160127 Issued in CA
Practice address
420 W Rowland St
Covina, CA 91723-2943
Phone
(626) 331-6411
NPI assigned
Apr 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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 7186 NE
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Hand Surgery Physician 207XS0106X A160127 CA Primary

Addresses

Primary practice location

420 W Rowland St
Covina, CA 91723-2943

Mailing address

420 W Rowland St
Covina, CA 91723-2943
Phone (626) 331-6411

Other practice location 1

981080 Nebraska Medical Ctr
Omaha, NE 68198-1080
Phone (402) 559-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201002001588 CA Practitioner - Orthopedic Surgery 1951521194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Creighton University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Orthopaedic Trauma Specialists PMCGroup PAC ID 4082992623, 36 clinicians

Practice addresses (Care Compare)

600 N Euclid Ave
Suite 202
Upland, CA 91786-4779
Phone (909) 596-4346

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160127CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - San Dimas LLC CurrentSince Aug 1, 2022 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 17, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Premier Orthopaedic Trauma Specialists, PMC Orthopaedic Surgery Current Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Aug 17, 2020 Accepting new patients
Sports Medicine and Orthopaedic Institute Orthopaedic Surgery CurrentSince Aug 1, 2022 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2140 Grand Ave
Ste 120
Chino Hills, CA 91709
Phone (909) 392-2002

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

160 E Artesia St
Ste 255
Pomona, CA 91767
Phone (909) 620-0900

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

400 N Mountain Ave
Ste 100
Upland, CA 91786

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

600 N Euclid Ave
Ste 202
Upland, CA 91786
Phone (840) 237-3344

400 N Mountain Ave
Ste 310
Upland, CA 91786
Phone (909) 920-0876

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ryan.miller.1@20474.direct.athenahealth.com
  • Direct secure messaging: casacolina@direct.casacolina.org

Organizations & group practices 12

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1528401031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232943",
            "telephone_number": "626-331-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232943",
            "telephone_number": "626-331-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981080 Nebraska Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681981080",
            "country_code": "US",
            "telephone_number": "402-559-2258",
            "fax_number": "402-559-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-15",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "7186",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A160127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.