NPIMap

Individual provider Active NPI

Tracy Jill Miles, D.O.

  • Medical Oncology Physician
  • Kansas City, MO
National Provider Identifier
1225239106
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
2009036122 Issued in MO
Practice address
4321 Washington St
Suite 4000
Kansas City, MO 64111-5961
Phone
(816) 932-3300
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 2009036122 MO
Hematology & Oncology Physician 207RH0003X 0534151 KS
Hematology & Oncology Physician 207RH0003X 1858163 MI
Hematology & Oncology Physician 207RH0003X 81468 WI
Medical Oncology Physician 207RX0202X 0534151 KS
Medical Oncology Physician 207RX0202X DOS-2287 HI
Medical Oncology Physician 207RX0202X 2009036122 MO Primary

Addresses

Primary practice location

4321 Washington St
Suite 4000
Kansas City, MO 64111-5961

Mailing address

PO Box 504407
Saint Louis, MO 63150-4407
Phone (816) 932-7940

Other identifiers 1

IdentifierTypeStateIssuer
1225239106MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, HI, WI3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211116001003 MI Practitioner - Medical OncologyPractitioner - Hematology/Oncology 2961539002 Reassigns benefits to 1 organization
I20220922002848 HI Practitioner - Medical Oncology 2961539002 Reassigns benefits to 1 organization
I20240419003263 WI Practitioner - Hematology/OncologyPractitioner - Internal Medicine 2961539002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thedacare, IncorporatedGroup PAC ID 1759294887, 654 clinicians

Practice addresses (Care Compare)

100 Theda Clark Medical PLZ
Suite 340
Neenah, WI 54956-2763
Phone (920) 729-5833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1858163MIMDHematology & Oncology Physician
DOS-2287HIMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated CurrentSince Apr 3, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Sep 9, 2022 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Aug 5, 2021 Accepting new patients
DLP Marquette Physician Practices Inc Hematology & Oncology CurrentSince Aug 5, 2021 Accepting new patients
Thedacare, Incorporated CurrentSince Apr 3, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Sep 9, 2022 Accepting new patients
Saint Luke'S Hospital of Kansas City Past Accepting new patients
Saint Lukes Cancer Institute LLC Hematology & Oncology Past Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations

1285 Waianuenue Ave
#2
Hilo, HI 96720

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

100 Theda Clark Medical Plz
Ste 340
Neenah, WI 54956
Phone (920) 729-5833

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Interoperability endpoints

  • Direct secure messaging: tmiles338652@direct.thedacare.org

Organizations & group practices 10

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1225239106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504407",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631504407",
            "telephone_number": "816-932-7940",
            "fax_number": "816-932-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 WASHINGTON ST",
            "address_2": "SUITE 4000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641115961",
            "telephone_number": "816-932-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "TRACY",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MO",
            "license": "2009036122",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "0534151",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MI",
            "license": "1858163",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WI",
            "license": "81468",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KS",
            "license": "0534151",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "HI",
            "license": "DOS-2287",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MO",
            "license": "2009036122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225239106",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.