Individual provider Active NPI

Loren Jeffery Miller, DPM

  • Foot & Ankle Surgery Podiatrist
  • St Petersburg, FL
National Provider Identifier
1285682344
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1707 Issued in FL
Practice address
4167 5TH Ave N
St Petersburg, FL 33713-6303
Phone
(727) 321-3100
Fax
(727) 327-6800
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P01707 FL
Foot & Ankle Surgery Podiatrist 213ES0103X PO1707 FL Primary

Addresses

Primary practice location

4167 5TH Ave N
St Petersburg, FL 33713-6303

Mailing address

4167 5TH Ave N
St Petersburg, FL 33713-6303
Phone (727) 321-3100

Other identifiers 1

IdentifierTypeStateIssuer
029772100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070224000040 FL Practitioner - Podiatry 0446352389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4167 5TH Ave N
St Peterburg, FL 33713-6303

4200 Central Ave
St Petersburg, FL 33711-1140
Phone (727) 321-3100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue97
Removal of skin lesions11
Removal of nail tissue847
Removal or shaving of skin growth548
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P01707FLMDPodiatrist
PO1707FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Loren J Miller DPM PLC Podiatrist CurrentSince Aug 21, 2006 Accepting new patients
Loren J Miller DPM PLC Podiatrist CurrentSince Aug 25, 2006 Accepting new patients

Locations

4167 5th Ave N
Ste B
St Petersburg, FL 33713
Phone (813) 586-3668

4167 5th Ave N
St Petersburg, FL 33713
Phone (727) 321-3100

4167 5th Ave N
#J
St Petersburg, FL 33713

4200 Central Ave
St Petersburg, FL 33711
Phone (727) 321-3000

Interoperability endpoints

  • Direct secure messaging: lmiller189293@orlandohealth.medalliesdirect.net
  • Direct secure messaging: lmiller@miller.mdlogic.direct-ci.com

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419552000000",
    "number": "1285682344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4167 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136303",
            "telephone_number": "727-321-3100",
            "fax_number": "727-327-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4167 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136303",
            "telephone_number": "727-321-3100",
            "fax_number": "727-327-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LOREN",
        "middle_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2014-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P01707",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029772100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.