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

Timothy Isaac Miller

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1568923605

Timothy Isaac Miller is a Pathology in Fargo, North Dakota. Qualified in 2019, 7 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in North Dakota and Washington.

Years since qualifying
7
Licensed in
ND, WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4840 23rd Ave S
Fargo, ND 58104-9136
Phone: (701) 417-6999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence 22190 (ND)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MDRE.ML.60952186 (WA)

Record details

NPI number1568923605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2019
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fargo