Lisa A Miller, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

59757 Issued in MN

Practice address

7595 Anagram Dr
Eden Prairie, MN 55344-7399

Phone

(612) 573-2200

Fax

(612) 573-2274

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mercy Home Care

  • Home Health Agency
  • Williston, ND
  • NPI 1871593723
  NPD
• Mercy Medical Center

  • Diagnostic Radiology Physician
  • Williston, ND
  • NPI 1629234257
  NPD
• Mercy Medical Center

  • Psychiatry Physician
  • Williston, ND
  • NPI 1801928593
  NPD
• Allina Health System

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1760446256
  NPD (past)
• Consulting Radiologists, LTD

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1659339216
  NPD (past)
• David L Bloom PA

  • Diagnostic Radiology Physician
  • Towson, MD
  • NPI 1336132901
  NPD (past)
• David L Bloom PA

  • Diagnostic Radiology Physician
  • Seabrook, MD
  • NPI 1396738704
  NPD (past)
• Quest Diagnostics LLC Il

  • Clinical Medical Laboratory
  • Chicago, IL
  • NPI 1669298055
  NPD (past)
• Shipley'S Imaging, LLC

  • Diagnostic Radiology Physician
  • Millersville, MD
  • NPI 1861476343
  NPD (past)
• University Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1245245307
  NPD (past)
• University Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1992511265
  NPD (past)
• University Imaging Specialists

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1508819889
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1689660276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 ANAGRAM DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447399",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4437 Edgewood Ln",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582015755",
            "country_code": "US",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "59757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Chiropractic and Wellness Center P.a.
• Madisen Mikiska, LPCC
• Kimberley Sloan Miller, MD
• Krista Ann Miller, PA-C
• Linda Miller
• Maris Miller
• Mindful Pathway Center
• Mindful Recovery Health Services LLC
• Brendan Maney Miner, MD
• Mark Miner

• Diagnostic Radiology Physician in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.