Organization Active NPI

Miller Medical Inc

  • Family Medicine Physician
  • Tremonton, UT
National Provider Identifier
1871240580
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MILLER MEDICAL INC
Doing business as
Miller Medical, Inc
Practice address
57 N 775 E
Tremonton, UT 84337-4103
Phone
(435) 915-6262
Fax
(435) 201-8200
NPI assigned
Mar 3, 2022
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Todd J Miller, MDNPI 1780877191
Title
Owner
Phone
(435) 915-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

57 N 775 E
Tremonton, UT 84337-4103

Mailing address

57 N 775 E
Tremonton, UT 84337-4103
Phone (435) 915-6262

Other names 1

  • Miller Medical, Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241105000574 UT Part B Supplier - Clinic/Group Practice 9931632528 Receives reassigned benefits from 5 practitioners
Practice locations: Tremonton, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D2260292Miller Medical57 N 775 E, Tremonton, UT 84337Certificate of waiverMay 16, 2028

National Provider Directory

National Provider Directory

Locations

57 N 775 E
Tremonton, UT 84337
Phone (435) 753-7880

755 E Main St
Tremonton, UT 84337

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1871240580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 N 775 E",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843374103",
            "telephone_number": "435-915-6262",
            "fax_number": "800-547-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 N 775 E",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843374103",
            "telephone_number": "435-915-6262",
            "fax_number": "435-201-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-915-6262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miller Medical, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tremonton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.