Active NPI
Miles Jan Lota, DO
- Internal Medicine Physician
- Philadelphia, PA
National Provider Identifier
1174695225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS10751
- Practice address
- 501 S 54TH St
Philadelphia, PA 19143-1900 - Phone
- (215) 748-9490
- Fax
- (215) 748-9685
- NPI assigned
- Nov 14, 2006
- Last updated
- Dec 27, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 210013 | NY | |
| Internal Medicine Physician | 207R00000X | OS10751 | FL | Primary |
Addresses
Primary practice location
501 S 54TH St
Philadelphia, PA 19143-1900
Mailing address
20 Kenmore LN
Media, PA 19063-2078
Phone (607) 349-8680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01816655 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210013 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Management of Southeastern Pennsylvania | Past | Accepting new patients | |
| Orlando Cancer Center Inc | Past | Accepting new patients | |
| Atlantic Professional Services of Rhode Island Incorporated | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Medical Oncology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1174695225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 KENMORE LN",
"city": "MEDIA",
"state": "PA",
"postal_code": "190632078",
"telephone_number": "607-349-8680",
"fax_number": "215-748-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S 54TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191431900",
"telephone_number": "215-748-9490",
"fax_number": "215-748-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTA",
"first_name": "MILES",
"middle_name": "JAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "210013",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS10751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01816655",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.