Active NPI
Christopher Ray Miller, MD
- Anesthesiology Physician
- Salt Lake City, UT
National Provider Identifier
1619084415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 377570-1205
- Practice address
- 100 N Medical Dr
Salt Lake City, UT 84113-1103 - Phone
- (801) 993-9551
- Fax
- (801) 733-5872
- NPI assigned
- Aug 25, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 377570-1205 | UT | Primary |
Addresses
Primary practice location
100 N Medical Dr
Salt Lake City, UT 84113-1103
Mailing address
3164 S 3075 E
Salt Lake City, UT 84109-2147
Phone (801) 487-4252
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119182900 | Medicaid | WY | |
| 0153238 | Medicaid | MT | |
| 301 | Other | UT | HEALTHY U |
| 741242 | Other | UT | DESERET MUTUAL |
| QM0000066426 | Other | UT | ALTIUS |
| 100502368 | Other | UT | FIRST HEALTH |
| 870280408CMP | Other | UT | EDUCATORS MUTUAL |
| PRA07085 | Other | UT | MOLINA |
| 107011794102 | Other | UT | IHC |
| 37757012001001 | Other | UT | BCBS |
| 806645300 | Medicaid | ID | |
| 73344 | Other | UT | PEHP |
| 837958 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 377570-1205 | UT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Pediatric Anesthesiologists Inc | Anesthesiology | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients |
Locations
100 N Medical Dr
Slc, UT 84112
Phone (801) 581-7877
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109
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.
-
- Anesthesiology Physician
- Salt Lake City, UT
- NPI 1417965799
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Interventional Cardiology Physician
- Salt Lake City, UT
- NPI 1285038083
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619084415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3164 S 3075 E",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841092147",
"telephone_number": "801-487-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N MEDICAL DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841131103",
"telephone_number": "801-993-9551",
"fax_number": "801-733-5872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHRISTOPHER",
"middle_name": "RAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "377570-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119182900",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0153238",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "301",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "741242",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000066426",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "100502368",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870280408CMP",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PRA07085",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107011794102",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37757012001001",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "806645300",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "73344",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "837958",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.