Frederick Howard Miller, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016002837 Issued in IL

Practice address

800 Biesterfield Rd Ste 207
Elk Grove Village, IL 60007-3378

Phone

(847) 228-6543

Fax

(847) 577-3587

NPI assigned

Oct 4, 2005

Last updated

Nov 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advance Practitioners in Health,Inc.

  • Adult Health Nurse Practitioner
  • Elgin, IL
  • NPI 1679043541
  NPD (past)
• Total Rehab PC

  • Physical Therapist
  • Roselle, IL
  • NPI 1629249917
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1083601041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 207",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073378",
            "telephone_number": "847-228-6543",
            "fax_number": "847-577-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD STE 207",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073378",
            "telephone_number": "847-228-6543",
            "fax_number": "847-577-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "FREDERICK",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016002837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032945",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "60000958",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016002837",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Sports Medicine & Orthopedic Surgical Specialist LTD (Open MRI Imaging Specialists, LLC)
• Midwest Sports Medicine & Orthopedic Surgical Specialists
• Midwest Sports Medicine & Orthopedic Surgical Specialists, LTD
• Sarah Mihalov, MD
• Christine Miller, OTR/L
• Sara Mills
• Mindful Soul Therapy LLC
• Richard F. Mirro, ATC
• Waleed Mirza, DPM
• William Kyle Misch, PA-C

• Podiatrist in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.