JAMES A JR. MILLER (M.D.) – Psychiatry Physician, NPI 1629006358

JAMES A JR. MILLER (M.D.) is a healthcare provider. based in Salt lake city, Utah. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 61576549 (WA). The NPI Number for JAMES A JR. MILLER (M.D.) is 1629006358

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JAMES A JR. MILLER (M.D.)
NPI
1629006358
Phone
(801) 448-1647
Address
5046 ESCONDIDO ST
Enumeration Date
29 June 2006
Last Update Date
30 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2069109476
Graduation Year
1989 (37 years ago)
PAC ID
9931006244
Group Practice PAC ID
7719975085
Professional Enrollment ID
I20250722000631
Address ID
WA980115773BO12900STXX409
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness85
Years active:19State licenses:3Digital endpointsOther names

710 PSYCHIATRY in WA

Provider Addresses for JAMES A JR. MILLER (M.D.)

  • 5046 ESCONDIDO ST

    SALT LAKE CITY, UT 841176542

    Phone: (801) 448-1647

    Fax: (801) 483-1610

    Type: Mailing

  • 12900 NE 180TH ST STE 201

    BOTHELL, WA 980115773

    Phone: (206) 910-9476

    Type: Location

  • 1208, 3300 South, Millcreek, Salt Lake County, Utah, 84106, United States

    SALT LAKE CITY, UT 841062522

    Phone: (801) 483-1600

    Fax: (801) 483-1610

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250722000631IPsychiatryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719975085View full group profile
NameSpecialtyState
Nurse PractitionerOR
-WA
-OR
Clinical PsychologistOR
Clinical Social WorkerOR
Mental Health CounselorTX
Clinical Social WorkerCA
Clinical Social WorkerOR
Mental Health CounselorOR
-OR

Reviews

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Frequently asked questions

Is there an official ID for JAMES A JR. MILLER (M.D.) in U.S. healthcare records?
The official identifier for JAMES A JR. MILLER (M.D.) is NPI 1629006358.
Is JAMES A JR. MILLER (M.D.) still an active registrant?
JAMES A JR. MILLER (M.D.) carries an active NPI according to the public dataset.
How would a patient describe JAMES A JR. MILLER (M.D.)'s focus?
For JAMES A JR. MILLER (M.D.), the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Utah is JAMES A JR. MILLER (M.D.) registered?
Use Salt Lake City, Utah as the headline location for JAMES A JR. MILLER (M.D.) here.
When was this NPI issued?
Enumeration for JAMES A JR. MILLER (M.D.) is noted as June 29, 2006 where the registry provides it.

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