Active NPI
Carl Eugene Miller Jr., D.P.M
- Foot & Ankle Surgery Podiatrist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 277
- Practice address
- 9001 S 101St East Ave Ste 190
Tulsa, OK 74133-5799 - Phone
- (918) 294-6460
- Fax
- (918) 294-6469
- NPI assigned
- May 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 277 | OK | Primary |
Addresses
Primary practice location
9001 S 101St East Ave Ste 190
Tulsa, OK 74133-5799
Mailing address
9001 S 101St East Ave Ste 190
Tulsa, OK 74133-5799
Phone (918) 294-6460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200724730A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1030 E Cherry St
Cushing, OK 74023-4102
Phone (918) 225-0204
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
2401 W Main St
Henryetta, OK 74437-3893
Phone (918) 652-9650
2403 W Main St
Henryetta, OK 74437-3893
Phone (918) 652-9650
8801 S 101St E Ave
Tulsa, OK 74133-5716
Phone (918) 294-4000
Hospital & facility affiliations
- Hillcrest Hospital South
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 129 |
| Removal or shaving of skin growth | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group, LLC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Ahs Oklahoma Physician Group LLC | Current | Accepting new patients | |
| Hearing Doctor, PLC | Past | Accepting new patients | |
| Aggeus Healthcare, P.C. | Past | Accepting new patients |
Locations
31870 E State Highway 51
Coweta, OK 74429
Phone (918) 279-3200
309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
Dept 1206
Tulsa, OK 74182
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
9001 S 101st East Ave
Ste 190
Tulsa, OK 74133
Phone (918) 392-9670
Dept 1467
Tulsa, OK 74182
Interoperability endpoints
- cmiller261706@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Rural Health Clinic/Center
- Cushing, OK
- NPI 1922683051
-
- Rehabilitation Hospital
- Okmulgee, OK
- NPI 1891197224
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Audiologist
- Tulsa, OK
- NPI 1447585260
-
- Podiatrist
- Chicago, IL
- NPI 1033156955
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1194991828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE STE 190",
"city": "TULSA",
"state": "OK",
"postal_code": "741335799",
"telephone_number": "918-294-6460",
"fax_number": "918-294-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 S 101ST EAST AVE STE 190",
"city": "TULSA",
"state": "OK",
"postal_code": "741335799",
"telephone_number": "918-294-6460",
"fax_number": "918-294-6469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CARL",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-02",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OK",
"license": "277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200724730A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.