Heidi Miller, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20010117155 Issued in MO

Practice address

4352 Manchester Ave.
Saint Louis, MO 63110-2138

Phone

(314) 531-5444

Fax

(314) 531-0063

NPI assigned

Nov 30, 2005

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in MO

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

Internal Medicine

Education

Harvard Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care Health CentersGroup PAC ID 7911815097, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Floyd Valley Healthcare Hospital, Le Mars, IA, CCN 161368

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: heidi.miller@avera.sdhealthlink.net

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.

• Family Care Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1508867508
  Medicare reassignment Care Compare group
• Family Care Health Centers

  • Federally Qualified Health Center (FQHC)
  • Saint Louis, MO
  • NPI 1023285624
  NPD

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

• Floyd Valley Healthcare

  • Critical Access Hospital
  • Le Mars, IA
  • NPI 1326109315
  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1922082361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 MANCHESTER AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102138",
            "telephone_number": "314-531-5444",
            "fax_number": "314-531-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4352 MANCHESTER AVE.",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631102138",
            "telephone_number": "314-531-5444",
            "fax_number": "314-531-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "20010117155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209122621",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPIN",
            "identifier": "905440581",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209172605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriela M Miller, PLPC
• Gary A Miller, MD
• Gregory Charles Miller, MD
• Hannah Miller, PLPC
• Heather Miller, MSN, APRN, AGPCNP-BC
• Ian Christopher Miller, OTR/L
• Jacob Ryan Miller, MD
• Jacqueline Miller, OTR/L, BCPR
• Jacquelyn Miller, LCSW
• James O Miller, FNP

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.