Individual provider Active NPI

Glenn R Miller, DPM

  • Podiatrist
  • Corpus Christi, TX
National Provider Identifier
1265456602
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1441 Issued in TX
Practice address
7101 S Staples St Ste 103
Corpus Christi, TX 78413-5543
Phone
(361) 814-4055
Fax
(361) 814-1346
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1441 TX Primary

Addresses

Primary practice location

7101 S Staples St Ste 103
Corpus Christi, TX 78413-5543

Mailing address

7101 S Staples St Ste 103
Corpus Christi, TX 78413-5543
Phone (361) 814-4055

Other identifiers 1

IdentifierTypeStateIssuer
030428901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100205000140 TX Practitioner - Podiatry 7719020270 Practice locations: Corpus Christi, TX; Rockport, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1101 Broadway
Rockport, TX 78382
Phone (361) 758-2008

7101 S Staple St
Suite 103
Corpus Christi, TX 78413-5543
Phone (361) 814-4055

7101 S Staples St
Suite 103
Corpus Christi, TX 78413-5543

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue396
Removal of nail tissue3075
Removal or shaving of skin growth796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1441TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn R Miller DPM PastSince Jan 1, 1991 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: glenn.miller@4366.securemail.prognocis.com

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1265456602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 S STAPLES ST STE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135543",
            "telephone_number": "361-814-4055",
            "fax_number": "361-814-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 S STAPLES ST STE 103",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135543",
            "telephone_number": "361-814-4055",
            "fax_number": "361-814-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GLENN",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030428901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.