Individual provider Active NPI

Andrew Wade Miller, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Dover, OH
National Provider Identifier
1093701476
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3392 Issued in OH
Practice address
515 Union Ave
Suite 147
Dover, OH 44622-3004
Phone
(330) 339-6233
Fax
(330) 343-8460
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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 3392 OH Primary

Addresses

Primary practice location

515 Union Ave
Suite 147
Dover, OH 44622-3004

Mailing address

515 Union Ave
Suite 147
Dover, OH 44622-3004
Phone (330) 339-6233

Other identifiers 3

IdentifierTypeStateIssuer
2642537MedicaidOH
P00662344OtherOHRAILROAD
9378401OtherOHMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060526000011 OH Practitioner - Podiatry 2567473812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Myers and Miller Podiatry IncGroup PAC ID 0446319701, 5 clinicians

Practice addresses (Care Compare)

515 Union Ave
Suite 147
Dover, OH 44622-3005
Phone (330) 339-6233

Hospital & facility affiliations

  • Union Hospital Hospital, Dover, OH, CCN 360010
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
  • Aultman Hospital Hospital, Canton, OH, CCN 360084

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as group
Quality
74.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.39 of 100Reported as group
Quality
68.19
Promoting interoperability
83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue335
Removal of skin lesions1-10
Removal of nail tissue1222
Removal or shaving of skin growth151
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3392OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Myers & Miller Podiatry Inc Foot & Ankle Surgery CurrentSince Aug 29, 2008 Accepting new patients
Trinity Hospital Twin City CurrentSince Feb 27, 2019 Accepting new patients
The Union Hospital Association CurrentSince Mar 6, 2018 Accepting new patients
Trinity Hospital Twin City CurrentSince Feb 27, 2019 Accepting new patients
The Union Hospital Association CurrentSince Mar 6, 2018 Accepting new patients
Myers Podiatry LLC PastSince Oct 1, 2008 Accepting new patients

Locations

819 N 1st St
Dennison, OH 44621
Phone (740) 922-0000

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

515 Union Ave
Ste 147
Dover, OH 44622
Phone (330) 339-6233

110 Dublin Dr
#B
Dover, OH 44622
Phone (330) 343-0753

1261 Wooster Rd
Ste 220
Millersburg, OH 44654
Phone (330) 345-1540

Interoperability endpoints

  • Direct secure messaging: andrewmiller@mmpi.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1093701476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "SUITE 147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-339-6233",
            "fax_number": "330-343-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 UNION AVE",
            "address_2": "SUITE 147",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223004",
            "telephone_number": "330-339-6233",
            "fax_number": "330-343-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREW",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "3392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642537",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00662344",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "9378401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.