Active NPI
Jill Marie Mikles, D.O.
- Sports Medicine (Orthopaedic Surgery) Physician
- Seymour, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 02004241A
- Practice address
- 411 W Tipton St
Seymour, IN 47274-2363 - Phone
- (812) 524-3311
- Fax
- (812) 524-3310
- NPI assigned
- Nov 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2008015977 | MO | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 125062400 | IL | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 02004241A | IN | Primary |
Addresses
Primary practice location
411 W Tipton St
Seymour, IN 47274-2363
Mailing address
411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 524-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Orthopedic Surgery
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1366 N Gardner St
Jackson County Hospital
Scottsburg, IN 47170-7793
Phone (812) 752-7444
200 S Walnut St
Schneck Medical Center
Seymour, IN 47274-2312
Phone (812) 522-2349
403 S Main St
Salem, IN 47167-1350
Phone (812) 883-1760
411 W Tipton St
Seymour, IN 47274-2363
Phone (812) 522-2349
Hospital & facility affiliations
- Schneck Medical Center Home Health Care
- Schneck Medical Center
- Norton Scott Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.97 of 100
- Quality
- 85.1
- Promoting interoperability
- 94.69
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 13 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 12 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008015977 | MO | MD | Orthopaedic Surgery Physician |
| 125062400 | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Schneck Memorial Hospital | Current | Accepting new patients | |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients |
Locations
2145 N State Highway 3
North Vernon, IN 47265
Phone (812) 346-6010
1366 N Gardner St
Ste 106
Scottsburg, IN 47170
Phone (812) 752-7444
200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349
411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Seymour, IN
- NPI 1629143037
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Seymour, IN
- NPI 1164485553
-
- General Acute Care Hospital
- Seymour, IN
- NPI 1699738088
-
- Critical Access Hospital
- Scottsburg, IN
- NPI 1013251594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1144475666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W TIPTON ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742363",
"telephone_number": "812-524-3311",
"fax_number": "812-524-3310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W TIPTON ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742363",
"telephone_number": "812-524-3311",
"fax_number": "812-524-3310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKLES",
"first_name": "JILL",
"middle_name": "MARIE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-25",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2008015977",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IL",
"license": "125062400",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "IN",
"license": "02004241A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.