NPIMap

Individual provider Active NPI

Tyler Miller, MD

  • Family Medicine Physician
  • Cumberland, WI
National Provider Identifier
1760830707
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301109943 Issued in MI
Practice address
1110 7TH Ave
Cumberland, WI 54829-9138
Phone
(715) 822-7500
NPI assigned
Jun 1, 2016
Last updated
Mar 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301109943 MI Primary

Addresses

Primary practice location

1110 7TH Ave
Cumberland, WI 54829-9138

Mailing address

1110 7TH Ave
Cumberland, WI 54829-9138
Phone (715) 822-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720003443 WI Practitioner - Family Practice 4284926890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Memorial Hospital IncGroup PAC ID 7719889203, 19 clinicians

Practice addresses (Care Compare)

1705 16TH Ave
Cumberland, WI 54829-8601
Phone (715) 822-7222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.85 of 100Reported as group
Quality
89.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301109943MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Memorial Hospital, Inc CurrentSince Aug 1, 2020 Accepting new patients
Cumberland Memorial Hospital Inc CurrentSince Aug 1, 2020 Accepting new patients
Mymichigan Medical Center Midland Family Medicine Past Accepting new patients
Mymichigan Medical Center Midland Past Accepting new patients
Cumberland Memorial Hospital Inc Past Accepting new patients
Cumberland Memorial Hospital Inc Family Medicine Past Accepting new patients

Locations

1110 7th Ave
Cumberland, WI 54829
Phone (715) 822-2741

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

Interoperability endpoints

  • Direct secure messaging: tyler.miller@cumberland-directmessage.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1760830707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 7TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548299138",
            "telephone_number": "715-822-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 7TH AVE",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "548299138",
            "telephone_number": "715-822-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TYLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-01",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301109943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, WI

Sources for this page

Verify at the official NPI Registry.