Thomas Ray Miner, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02121 Issued in IA

Practice address

1121 3Rd St SW
Dyersville, IA 52040-1725

Phone

(563) 875-2776

Fax

(563) 875-7657

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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 1

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Community HospitalGroup PAC ID 1052206372, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Elkader Medical Center Hospital, Elkader, IA, CCN 161319
• Mercyone Dyersville Medical Center Hospital, Dyersville, IA, CCN 161378

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tminer3962704@direct.trinity-health.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/0e14dd7a-54b5-4e15-8bd7-0053cd69b1ac/

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.

• Central Community Hospital

  • Critical Access Hospital
  • Elkader, IA
  • NPI 1184645434
  Medicare reassignment NPD
• Central Community Hospital

  • Surgery Physician
  • Elkader, IA
  • NPI 1578600961
  Medicare reassignment NPD
• Mercy Medical Center-Dyersville

  • Critical Access Hospital
  • Dyersville, IA
  • NPI 1205816725
  Medicare reassignment NPD
• Central Community Hospital

  • Rural Health Clinic/Center
  • Elkader, IA
  • NPI 1952986010
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Community Hospital

  • Critical Access Hospital
  • Elkader, IA
  • NPI 1184645434
  Care Compare affiliation
• Mercy Medical Center-Dyersville

  • Critical Access Hospital
  • Dyersville, IA
  • NPI 1205816725
  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1902850704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ASSOCIATES DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022201",
            "telephone_number": "563-584-4100",
            "fax_number": "563-584-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 3RD ST SW",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401725",
            "telephone_number": "563-875-2776",
            "fax_number": "563-875-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "THOMAS",
        "middle_name": "RAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1091983",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Family Pharmacy
• Mercy Medical Center-Dubuque
• Mercy Medical Center-Dyersville
• Mercy Medical Center-Dyersville
• Midwest Optometric Associates PC
• Grace Morgan, MA
• Linda J. Nightingale
• Thomas Gerard Olberding, RPH
• Julie A Panosh, PHARM D
• Physiotherapy Associates, Inc.

• Family Medicine Physician in Dyersville, IA
• Providers in Dyersville, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.

Verify at the official NPI Registry.