Stephen Daniel Miller, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2012012818 Issued in MO

Practice address

12855 N 40 Dr Ste 350
Saint Louis, MO 63141-8669

Phone

(314) 567-6071

Fax

(314) 453-9965

NPI assigned

May 8, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Urology of St. Louis, Inc.

  • Specialist
  • Saint Louis, MO
  • NPI 1528017191
  Medicare reassignment Care Compare group NPD (past)
• Altea Medical Missouri LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Wildwood, MO
  • NPI 1649032608
  NPD
• Amr Pain & Spine Clinic LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Saint Louis, MO
  • NPI 1396126280
  NPD
• Superior Healthcare Physical Medicine of West County, LLC

  • Physical Medicine & Rehabilitation Physician
  • Saint Peters, MO
  • NPI 1538860267
  NPD
• Yam Medical Center LLC

  • General Practice Physician
  • Bridgeton, MO
  • NPI 1568072650
  NPD
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025
  NPD
• Urology of St. Louis, Inc.

  • Urology Physician
  • Fairview Heights, IL
  • NPI 1528901287
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1942569215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14369",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631784369",
            "telephone_number": "314-567-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 N 40 DR STE 350",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418669",
            "telephone_number": "314-567-6071",
            "fax_number": "314-453-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.012265",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2012012818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Miller, OTR/L
• Scott Everett Miller, ACNP
• Sean Michael Miller, PA
• Shannon L Miller, PNP
• Stephanie Miller, NP
• Suzanne L Miller, MD
• Tanesha Miller
• Teresa Katherine Miller, RD, LD
• Theresa Cannes Miller, PTA
• Timothy Matthew Miller, MD

• Physician Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.