Active NPI
Adam David Miller, MD
- Dermatology Physician
- Waukee, IA
National Provider Identifier
1578068367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD-51875
- Practice address
- 830 NE Alices Rd
Waukee, IA 50263-8857 - Phone
- (515) 875-9766
- Fax
- (515) 875-9611
- NPI assigned
- Mar 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD-51875 | IA | Primary |
Addresses
Primary practice location
830 NE Alices Rd
Waukee, IA 50263-8857
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9925
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adammiller@tic.allscriptsdirect.net | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230927001788 | IA | Practitioner - Dermatology | 4183008451 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Iowa Clinic PC
Practice addresses (Care Compare)
830 NE Alices Rd
Waukee, IA 50263-8857
Phone (515) 875-9100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 239 |
| Removal of skin lesions | 164 |
| Removal of skin cancer | 649 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic, PC | Current | Accepting new patients | |
| The Iowa Clinic PC | Current | Accepting new patients |
Locations
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
830 NE Alices Rd
Waukee, IA 50263
Phone (515) 875-9610
Interoperability endpoints
- adammiller@tic.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
-
- Durable Medical Equipment & Medical Supplies
- Ankeny, IA
- NPI 1235851916
-
- Prosthetic/Orthotic Supplier
- West Des Moines, IA
- NPI 1174792873
-
- Durable Medical Equipment & Medical Supplies
- Ankeny, IA
- NPI 1184056129
-
- Durable Medical Equipment & Medical Supplies
- Ankeny, IA
- NPI 1235985763
-
- Durable Medical Equipment & Medical Supplies
- Waukee, IA
- NPI 1255101291
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1508234329
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1528058310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1578068367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-875-9925",
"fax_number": "515-875-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 NE ALICES RD",
"city": "WAUKEE",
"state": "IA",
"postal_code": "502638857",
"telephone_number": "515-875-9766",
"fax_number": "515-875-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "ADAM",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-26",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "MD-51875",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adammiller@tic.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "830 NE Alices Rd",
"city": "Waukee",
"state": "IA",
"country_code": "US",
"postal_code": "502638857",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waukee, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.