Individual provider Active NPI

Floyd I Miller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chandler, AZ
National Provider Identifier
1053461053
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0548 Issued in AZ
Practice address
2175 N Alma School Rd Ste C109
Chandler, AZ 85224-2880
Phone
(480) 545-2610
Fax
(480) 545-2673
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0548 AZ Primary

Addresses

Primary practice location

2175 N Alma School Rd Ste C109
Chandler, AZ 85224-2880

Mailing address

2034 E Southern Ave Ste W
Tempe, AZ 85282-7519
Phone (480) 219-3766

Other identifiers 3

IdentifierTypeStateIssuer
2Z0121OtherAZHEALTHNET OF AZ
P00409461OtherAZRR MEDICARE
612459MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20051005001315 AZ Practitioner - Podiatry 7517982838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2034 E Southern Ave
Suite W
Tempe, AZ 85282-7519
Phone (480) 219-3766

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of nail tissue362
Removal or shaving of skin growth259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0548AZMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd I Miller DPM PC Foot & Ankle Surgery CurrentSince Jan 1, 2007 Accepting new patients
Immaculate Heart of Mary Family Health Center PastSince Feb 1, 2021 Accepting new patients
Steven H. Le Baron, DPM, Inc., PS Foot & Ankle Surgery Past Accepting new patients
Gregg Krahn DPM PC Foot & Ankle Surgery PastSince Feb 19, 2023 Accepting new patients

Locations

2175 N Alma School Rd
Ste C109
Chandler, AZ 85224
Phone (480) 219-3766

2034 E Southern Ave
Ste W
Tempe, AZ 85282
Phone (480) 219-3766

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1053461053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 E SOUTHERN AVE STE W",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827519",
            "telephone_number": "480-219-3766",
            "fax_number": "480-219-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 N ALMA SCHOOL RD STE C109",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242880",
            "telephone_number": "480-545-2610",
            "fax_number": "480-545-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "FLOYD",
        "middle_name": "I",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET OF AZ",
            "identifier": "2Z0121",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00409461",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612459",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.