Individual provider Active NPI

Carl Eugene Miller Jr., D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Tulsa, OK
National Provider Identifier
1194991828
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
277 Issued in OK
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

Updated by the provider on Dec 13, 2024

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 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

IdentifierTypeStateIssuer
200724730AMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000364 OK Practitioner - Podiatry 0042335234 Reassigns benefits to 2 organizations

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
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

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 Hospital, Tulsa, OK, CCN 370202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue129
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277OKMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics Current Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 22, 2012 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Feb 1, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Oct 22, 2012 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Hearing Doctor, PLC PastSince Oct 14, 2017 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

  • Direct secure messaging: cmiller261706@ahs.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.