Active NPI
William M Miller, DPM
- Foot Surgery Podiatrist
- Port Chester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N003771-1
- Practice address
- 220 Grace Church St
Port Chester, NY 10573-5162 - Phone
- (914) 939-7828
- Fax
- (914) 939-4516
- NPI assigned
- Jul 28, 2006
- Last updated
- May 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | N003771-1 | NY | Primary |
Addresses
Primary practice location
220 Grace Church St
Port Chester, NY 10573-5162
Mailing address
220 Grace Church St
Port Chester, NY 10573-5162
Phone (718) 806-1434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1708601 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
80 Physician Dr
Aiken, SC 29801-6388
Phone (803) 508-7517
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.62 of 100
- Quality
- 63.47
- Promoting interoperability
- 93
- Improvement activities
- 40
- Cost
- 87.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 11 |
| Removal of nail tissue | 246 |
| Removal or shaving of skin growth | 234 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N003771-1 | NY | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Footcare, LLC | Foot Surgery | Current | Accepting new patients |
| The Foot and Ankle Group PC | Foot Surgery | Past | Accepting new patients |
Locations
1519 Laney Walker Blvd
Augusta, GA 30904
Phone (706) 724-7000
1730 Saint Julian Pl
Columbia, SC 29204
Phone (803) 256-6776
6 Barnette Dr
Sumter, SC 29150
Phone (803) 773-3391
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Podiatric Medicine Podiatrist
- Augusta, GA
- NPI 1720139710
Foot Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558483200000",
"number": "1003820655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 GRACE CHURCH ST",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105735162",
"telephone_number": "718-806-1434",
"fax_number": "718-806-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 GRACE CHURCH ST",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105735162",
"telephone_number": "914-939-7828",
"fax_number": "914-939-4516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WILLIAM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2019-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NY",
"license": "N003771-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1708601",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Chester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.