Individual provider Active NPI

Christopher Miller

  • Critical Care Medicine (Internal Medicine) Physician
  • Rapid City, SD
National Provider Identifier
1982010609
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
12658 Issued in SD
Practice address
353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone
(605) 755-1000
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014019453 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2014019453 MO
Pulmonary Disease Physician 207RP1001X 2014019453 MO
Pulmonary Disease Physician 207RP1001X 12658 SD
Pediatrics Physician 208000000X 12658 SD
Pediatrics Physician 208000000X 2014019453 MO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 12658 SD Primary

Addresses

Primary practice location

353 Fairmont Blvd
Rapid City, SD 57701-7375

Mailing address

400 N Keene St
Columbia, MO 65201-6626
Phone (573) 882-4438

Other practice location 1

5301 Faraon St Ste 210
Saint Joseph, MO 64506-3800
Phone (816) 271-1385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, SD2 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
I20171206001929 MO Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 4688998404 Reassigns benefits to 2 organizations
I20210809001893 SD Practitioner - Pulmonary Disease 4688998404 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

1440 N Main St
Spearfish, SD 57783-1505
Phone (605) 644-4000

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-1000

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077
  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Monument Health Spearfish Hospital Hospital, Spearfish, SD, CCN 430048
  • Monument Health Custer Hospital Hospital, Custer, SD, CCN 431323

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014019453MOMDInternal Medicine Physician
12658SDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Internal Medicine CurrentSince Oct 26, 2022 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Jul 19, 2021 Accepting new patients
Vibra Physicians LLC CurrentSince Feb 11, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Dec 20, 2022 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Jul 19, 2021 Accepting new patients
Monument Health Network, Inc. CurrentSince Aug 16, 2022 Accepting new patients
Mosaic Medical Center - Maryville Internal Medicine CurrentSince Dec 20, 2022 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Heartland Regional Medical Center Internal Medicine Current Accepting new patients
Heartland Regional Medical Center CurrentSince Oct 26, 2022 Accepting new patients
Monument Health Network, Inc. CurrentSince Aug 16, 2022 Accepting new patients

Locations

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5301 Faraon St
Ste 210
Saint Joseph, MO 64506
Phone (816) 271-1385

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

2115 Promise Rd
Rapid City, SD 57701
Phone (605) 646-6040

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Organizations & group practices 12

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1982010609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016626",
            "telephone_number": "573-882-4438",
            "fax_number": "573-884-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 FAIRMONT BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577017375",
            "telephone_number": "605-755-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Faraon St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063800",
            "country_code": "US",
            "telephone_number": "816-271-1385",
            "fax_number": "816-271-1385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-01-09",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2014019453",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MO",
            "license": "2014019453",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2014019453",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SD",
            "license": "12658",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "12658",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2014019453",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "SD",
            "license": "12658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

Verify at the official NPI Registry.