Individual provider Active NPI

Seth B Miller, M.D.

  • Gastroenterology Physician
  • Yuma, AZ
National Provider Identifier
1891991717
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
42979 Issued in AZ
Practice address
1390 W 16TH St
Yuma, AZ 85364-4430
Phone
(928) 344-4325
Fax
(928) 344-3084
NPI assigned
Jun 26, 2007
Last updated
Jan 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 42979 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X 76499 AZ

Addresses

Primary practice location

1390 W 16TH St
Yuma, AZ 85364-4430

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7170
Phone (928) 344-2000

Other practice location 1

2490 S Woodworth Loop
Palmer, AK 99645-7410
Phone (907) 861-6315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address seth.miller.1@2839.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100914001161 AZ Practitioner - Gastroenterology 2668597667 Reassigns benefits to 1 organization
I20230302002392 AK Practitioner - GastroenterologyPractitioner - Internal Medicine 2668597667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Arizona College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians
Alaska Gi Associates LLCGroup PAC ID 8426543323, 6 clinicians

Practice addresses (Care Compare)

2400 S Ave a
Yuma, AZ 85364-7127
Phone (928) 344-2000

3190 E Meridian Park Loop
Suite 206
Wasilla, AK 99654-7422
Phone (907) 373-2544

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy369
Upper gastrointestinal (GI) endoscopy for acid reflux422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42979AZMDGastroenterology Physician
76499AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Dec 1, 2020 Accepting new patients
Mat-Su Valley III LLC Gastroenterology Current Accepting new patients
Alaska Gi Associates LLC Gastroenterology CurrentSince May 1, 2024 Accepting new patients
Yuma Endoscopy Center Current Accepting new patients
Desert Sedation Services LLC PastSince Sep 30, 2016 Accepting new patients

Locations

2490 S Woodworth Loop
Palmer, AK 99645
Phone (866) 236-8296

2490 S Woodworth Loop
Ste 200
Palmer, AK 99645
Phone (907) 746-7747

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

3190 E Meridian Park Loop
Ste 206
Wasilla, AK 99654
Phone (907) 373-2544

950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444

1390 W 16th St
Yuma, AZ 85364
Phone (928) 344-4325

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

Organizations & group practices 5

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 2

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1891991717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647170",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W 16TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644430",
            "telephone_number": "928-344-4325",
            "fax_number": "928-344-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2490 S Woodworth Loop",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996457410",
            "country_code": "US",
            "telephone_number": "907-861-6315",
            "fax_number": "907-861-6533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SETH",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "42979",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "76499",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "seth.miller.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amr direct address",
            "address_1": "2490 S Woodworth Loop",
            "city": "Palmer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996457410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.