Active NPI
Steven Lyle Miller, M.D.
- Surgery Physician
- Colton, CA
National Provider Identifier
1831114974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD27109
- Practice address
- 2571 Malibu CT
Colton, CA 92324-9788 - Phone
- (909) 824-7966
- NPI assigned
- Jul 12, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00042389 | WA | |
| Surgery Physician | 208600000X | DR.0061555 | CO | |
| Vascular Surgery Physician | 2086S0129X | M3023 | TX | |
| Surgery Physician | 208600000X | MD27109 | OR | Primary |
Addresses
Primary practice location
2571 Malibu CT
Colton, CA 92324-9788
Mailing address
2571 Malibu Court
Colton, CA 92324
Phone (909) 824-7966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 178805101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Loma Linda University School of Dentistry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
37868 US Hwy 18
Prairie Du Chien, WI 53821-8416
Phone (608) 357-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19743 | NV | MD | Pharmacist |
| MD27109 | OR | MD | Surgery Physician |
| M3023 | TX | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Du Chien Memorial Hospital Association Inc | Current | Accepting new patients | |
| S Pannu Inc | Past | Accepting new patients | |
| Prairie Du Chien Memorial Hospital Association Inc | Past | Accepting new patients | |
| Willamette Valley Clinics LLC | Surgery | Past | Accepting new patients |
| Physicians and Allied Health Professionals Group, PA | Surgery | Past | Accepting new patients |
| McKenzie Physician Services LLC | Past | Accepting new patients |
Locations
37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000
Interoperability endpoints
- smiller820509@direct.emplifyhealth.org
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
-
- Internal Medicine Physician
- Susanville, CA
- NPI 1407987522
-
- General Practice Physician
- Brentwood, TN
- NPI 1316909054
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
Surgery
-
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1346207081
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Prairie Du Chien, WI
- NPI 1619024197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1831114974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2571 MALIBU COURT",
"city": "COLTON",
"state": "CA",
"postal_code": "92324",
"telephone_number": "909-824-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2571 MALIBU CT",
"city": "COLTON",
"state": "CA",
"postal_code": "923249788",
"telephone_number": "909-824-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STEVEN",
"middle_name": "LYLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00042389",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "DR.0061555",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "M3023",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD27109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "178805101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; 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.