John P Miketa, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

337 Issued in NC

Practice address

122 North Main St
Fuquay Varina, NC 27526-1933

Phone

(919) 557-5148

Fax

(919) 557-5645

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gooden Mobile Pod NC PLLCGroup PAC ID 2769738715, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.23 of 100Reported as group

Quality

50.17

Promoting interoperability

100

Improvement activities

40

Cost

77.26

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.miketa.p13@direct.360care.nextgenshare.com

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.

• Carolina Family Foot Care PC

  • Podiatric Clinic/Center
  • Fuquay Varina, NC
  • NPI 1831306711
  Medicare reassignment NPD Authorized official
• Gooden Mobile Pod NC PLLC

  • Podiatrist
  • Fayetteville, NC
  • NPI 1073003752
  Medicare reassignment Care Compare group NPD
• Carolina Family Foot Care

  • Podiatric Clinic/Center
  • Raleigh, NC
  • NPI 1881869535
  NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1013138528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 NORTH MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261933",
            "telephone_number": "919-557-5148",
            "fax_number": "919-557-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 NORTH MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261933",
            "telephone_number": "919-557-5148",
            "fax_number": "919-557-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKETA",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "337",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908110",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Register Meyers, M.ED., LPC
• Rajwantie Micciche, ELECTROLOGIST
• Michele E. Collier, DDS, PLLC
• Kara Elizabeth Mihalic, OT
• Mike P. Hamby, DDS, PA
• Anne Cooke Miller
• Ashley Miller, LCMHCA
• Michelle Lynn Miller, M.A. CCC-SLP
• Rebecca H Miller, M.A.
• Stefani Miller, MA, LPCA, NCC

• Podiatrist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.

Verify at the official NPI Registry.