Individual provider Active NPI

Dylan V Miller, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Murray, UT
National Provider Identifier
1548240468
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
7192380-1205 Issued in UT
Practice address
5252 S Intermountain Dr
Murray, UT 84107
Phone
(801) 507-2150
Fax
(801) 507-2311
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 7192380-1205 UT Primary

Addresses

Primary practice location

5252 S Intermountain Dr
Murray, UT 84107

Mailing address

5252 S Intermountain Dr
Murray, UT 84107-5700
Phone (801) 507-2150

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 2

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other identifiers 4

IdentifierTypeStateIssuer
94002359MedicaidCO
819638900MedicaidMN
808386400MedicaidID
200245740AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmiller54410@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20090707000258 UT Practitioner - Pathology 7911058813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Utah School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utah Pathology Services IncGroup PAC ID 1355251521, 28 clinicians

Practice addresses (Care Compare)

1034 N 500
Provo, UT 84604-3380
Phone (801) 357-7850

1400 N 500
Logan, UT 84341-2455
Phone (435) 716-1000

170 N 1100
American Fork, UT 84003-2096
Phone (801) 855-3300

3741 W 12600
Riverton, UT 84065-7215
Phone (801) 266-0055

5252 S Intermountain Dr
Murray, UT 84107-5700
Phone (801) 266-0055

765 E Marker Place Dr
Spanish Fork, UT 84660-1396
Phone (385) 344-5000

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 266-0055

900 Round Valley Dr
Park City, UT 84060-7552
Phone (801) 266-0055

9660 S 1300
Sandy, UT 84094-3762
Phone (801) 266-0055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
86.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7192380-1205UTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
Utah Pathology Services, Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2009 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients

Locations

5700 Southwyck Blvd
Toledo, OH 43614

170 N 1100 E
American Fork, UT 84003
Phone (801) 714-6570

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

900 Round Valley Dr
Park City, UT 84060
Phone (435) 658-7000

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

3741 W 12600 S
Riverton, UT 84065
Phone (801) 285-2400

5252 S Intermountain Dr
Salt Lake City, UT 84107
Phone (801) 507-2110

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

360 E 4500 S
Ste 4
Salt Lake Cty, UT 84107

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

765 E Market Place Dr
Spanish Fork, UT 84660
Phone (385) 344-5000

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

Interoperability endpoints

  • Direct secure messaging: dmiller54410@direct.med.utah.edu

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 7

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1548240468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 S INTERMOUNTAIN DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075700",
            "telephone_number": "801-507-2150",
            "fax_number": "801-507-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 S INTERMOUNTAIN DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-507-2150",
            "fax_number": "801-507-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DYLAN",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "7192380-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94002359",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819638900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808386400",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200245740A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmiller54410@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.