Individual provider Active NPI

Michael Bleich Miller, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1295893139
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004728L Issued in PA
Practice address
8001 Roosevelt Blvd
Suite 203
Philadelphia, PA 19152-3038
Phone
(215) 332-5300
Fax
(215) 332-5228
NPI assigned
Dec 4, 2006
Last updated
Jun 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC004728L PA Primary
Podiatrist 213E00000X 25MD00269800 NJ

Addresses

Primary practice location

8001 Roosevelt Blvd
Suite 203
Philadelphia, PA 19152-3038

Mailing address

8001 Roosevelt Blvd
Suite 203
Philadelphia, PA 19152-3038
Phone (215) 332-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031121000321 PA Practitioner - Podiatry 5395649305 Reassigns benefits to 1 organization
I20111005000338 NJ Practitioner - Podiatry 5395649305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Foot and Ankle Group, P.C.Group PAC ID 1850295817, 7 clinicians

Practice addresses (Care Compare)

1 Sheffield Dr
Suite 101
Columbus, NJ 08022-9506
Phone (609) 298-7000

8001 Roosevelt Blvd
Suite 203
Philadelphia, PA 19152-3010
Phone (215) 332-5300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.35 of 100Reported as group
Quality
95
Improvement activities
40
Cost
78.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue524
Removal of skin lesions1-10
Removal of nail tissue528
Removal or shaving of skin growth463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Foot & Ankle Group, P.C. CurrentSince Jul 1, 2002 Accepting new patients
The Foot and Ankle Group, PC Podiatrist Past Accepting new patients
The Foot and Ankle Group PC Podiatrist PastSince Jul 1, 2002 Accepting new patients

Locations

163 Route 130
Ste 2B-1
Bordentown, NJ 08505
Phone (609) 291-0960

1 Sheffield Dr
Ste 101
Columbus, NJ 08022
Phone (609) 291-5600

210 Ark Rd
Ste 214
Mount Laurel, NJ 08054
Phone (856) 234-0195

6921 Frankford Ave
Ste D
Philadelphia, PA 19135
Phone (215) 332-5300

8001 Roosevelt Blvd
Ste 203
Philadelphia, PA 19152
Phone (215) 332-5300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1295893139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-332-5300",
            "fax_number": "215-332-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-332-5300",
            "fax_number": "215-332-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MICHAEL",
        "middle_name": "BLEICH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004728L",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00269800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.