Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Leslie R Miller, MD

Individual provider Pediatrics Physician · NPI 1164981056

Dr. Leslie R Miller, MD is a Psychiatry in Ammon, Idaho. Graduated from Tulane University School of Medicine in 2024, 2 years ago. Practices with Pearl Health Clinic, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Trained at
Tulane University School of Medicine
Licensed in
ID
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2705 E 17th St
Ammon, ID 83406-6601
Phone: (208) 346-7500
Fax: (208) 346-7501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 — (504) 988-7829

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence M-17907 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence M-17907 (ID)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence M-17907 (ID)

Record details

NPI number1164981056
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Also practisesPEDIATRIC MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Pearl Health Clinic — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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