Individual provider Active NPI

Lori L. Miller, DO

  • Family Medicine Physician
  • Norwalk, IA
National Provider Identifier
1982664082
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3152 Issued in IA
Practice address
800 Colonial Cir
Suite 200
Norwalk, IA 50211-9637
Phone
(515) 285-3200
Fax
(515) 285-3232
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3152 IA Primary

Addresses

Primary practice location

800 Colonial Cir
Suite 200
Norwalk, IA 50211-9637

Mailing address

800 Colonial Cir
Suite 200
Norwalk, IA 50211-9637
Phone (515) 285-3200

Other identifiers 2

IdentifierTypeStateIssuer
1982664082MedicaidIA
3187385MedicaidIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090316000194 IA Practitioner - Family Practice 9638236862 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3152IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince May 7, 2017 Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4020 Merle Hay Rd
Ste 100
Des Moines, IA 50310
Phone (515) 278-0949

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

800 Colonial Cir
Ste 200
Norwalk, IA 50211
Phone (515) 285-3200

610 10th St
Perry, IA 50220
Phone (515) 465-3547

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1982664082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COLONIAL CIR",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119637",
            "telephone_number": "515-285-3200",
            "fax_number": "515-285-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COLONIAL CIR",
            "address_2": "SUITE 200",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119637",
            "telephone_number": "515-285-3200",
            "fax_number": "515-285-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LORI",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982664082",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3187385",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, IA

Sources for this page

Verify at the official NPI Registry.