NPIMap

Individual provider Active NPI

Mark G Miles, MD

  • Hospitalist Physician
  • Oklahoma City, OK
National Provider Identifier
1255335287
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
18554 Issued in OK
Practice address
3433 NW 56TH St
Ste 580
Oklahoma City, OK 73112-4420
Phone
(405) 917-3518
Fax
(405) 951-4361
NPI assigned
Jun 8, 2005
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18554 OK
Hospitalist Physician 208M00000X 18554 OK Primary

Addresses

Primary practice location

3433 NW 56TH St
Ste 580
Oklahoma City, OK 73112-4420

Mailing address

820 W Danforth Rd
# 133
Edmond, OK 73003-5006
Phone (405) 367-7625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001241 OK Practitioner - Internal Medicine 3375522311 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Physicians LLCGroup PAC ID 1153794813, 62 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone (405) 949-3141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Healthcare Services LLC Internal Medicine CurrentSince Jan 6, 2026 Accepting new patients
Rylan-Jagger Medical LLC CurrentSince Aug 14, 2008 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Metro Physicians LLC Hospitalist CurrentSince Aug 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
McBride Clinic Orthopedic Hospital, LLC CurrentSince Oct 1, 2015 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Dec 3, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Inpatient Consultants of Texas, PLLC Internal Medicine Past Accepting new patients
Integris Cardiovascular Physicians LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Centennial Health, PC PastSince May 1, 1992 Accepting new patients
Mercy Health Network Inc Internal Medicine Past Accepting new patients
National Family Medical Associates, LLC Internal Medicine PastSince Feb 1, 2023 Accepting new patients
Integris Cardiovsacular Physicians Past Accepting new patients
SSM Health Care of Oklahoma, Inc Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients

Locations

523 S Santa Fe Ave
Ste B
Edmond, OK 73003
Phone (405) 285-0660

820 W Danforth Rd
Edmond, OK 73003
Phone (405) 602-3553

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

1111 N Dewey Ave
Oklahoma City, OK 73103
Phone (405) 272-7900

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

2129 SW 59th St
Oklahoma City, OK 73119
Phone (405) 680-2270

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

3524 NW 56th St
Oklahoma City, OK 73112
Phone (405) 606-6700

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

9400 Saint Ann Dr
Oklahoma City, OK 73162
Phone (405) 728-7888

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: mmiles398424@direct-ehr-ssmhc.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Trinity HospiceOklahoma City, OK, CCN 371646 Hospice Contracted Managing Employee Jan 26, 2024
Legacy Family Hospice, LLCOklahoma City, OK, CCN 371735 Hospice Contracted Managing Employee Nov 8, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 17

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.

View all 17

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1255335287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W DANFORTH RD",
            "address_2": "# 133",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730035006",
            "telephone_number": "405-367-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 NW 56TH ST",
            "address_2": "STE 580",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124420",
            "telephone_number": "405-917-3518",
            "fax_number": "405-951-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "MARK",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18554",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "18554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.