Active NPI
Christine P Miller, DPM
- Podiatrist
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO3678
- Practice address
- 13600 Icot Blvd BLDG B
Clearwater, FL 33760-3703 - Phone
- (888) 290-6321
- Fax
- (727) 669-8417
- NPI assigned
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO3678 | FL | Primary |
Addresses
Primary practice location
13600 Icot Blvd BLDG B
Clearwater, FL 33760-3703
Mailing address
13600 Icot Blvd BLDG B
Clearwater, FL 33760-3703
Phone (888) 290-6321
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003149383A | Medicaid | GA | |
| 012326400 | Medicaid | FL | |
| 241402NSG | Other | PA | MEDICARE GROUP MEMBER PTAN |
| 1027113900001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111
Hospital & facility affiliations
- Shands Jacksonville
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 26 |
| Removal of nail tissue | 11 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Podiatrist | Current | Accepting new patients |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| Community Health Solutions of America Pso, LLC | Past | Accepting new patients | |
| Temple University of the Commonwealth System of Higher Education | Past | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
655 W 8th St
Fl 2
Jacksonville, FL 32209
Phone (904) 244-4202
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
Interoperability endpoints
- cmiller140295@direct.shands.ufl.edu
- cmiller@khpi-fl.direct.office.nextgen.com
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1679733943
Podiatrist
-
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
-
- General Practice Physician
- Clearwater, FL
- NPI 1053853044
-
- Dental Clinic/Center
- Philadelphia, PA
- NPI 1841268604
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1104191063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13600 ICOT BLVD BLDG B",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603703",
"telephone_number": "888-290-6321",
"fax_number": "727-669-8417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13600 ICOT BLVD BLDG B",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603703",
"telephone_number": "888-290-6321",
"fax_number": "727-669-8417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CHRISTINE",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO3678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003149383A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012326400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP MEMBER PTAN",
"identifier": "241402NSG",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027113900001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.