Individual provider Active NPI

Stephen R Miller, DPM

  • Podiatrist
  • Ocala, FL
National Provider Identifier
1396814125
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P00001605 Issued in FL
Practice address
3301 SW 34TH Circle
Suite 102
Ocala, FL 34474
Phone
(352) 861-0444
Fax
(352) 861-0464
NPI assigned
Nov 7, 2006
Last updated
Sep 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P00001605 FL Primary

Addresses

Primary practice location

3301 SW 34TH Circle
Suite 102
Ocala, FL 34474

Mailing address

3301 SW 34TH Circle
Suite 102
Ocala, FL 34474
Phone (352) 861-0444

Other identifiers 1

IdentifierTypeStateIssuer
029711903MedicaidFL

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
I20110728000564 FL Practitioner - Podiatry 7517959935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Podiatry AssocGroup PAC ID 7012909591, 2 clinicians

Practice addresses (Care Compare)

3301 SW 34TH Cir
Suite 102
Ocala, FL 34474-6619
Phone (352) 861-0444

Merit-based Incentive Payment System (MIPS)

Final score
95.16 of 100Reported as individual
Quality
83.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P00001605FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Podiatry Assoc Podiatrist CurrentSince Aug 25, 1998 Accepting new patients
Karen Lee DPM PA Podiatrist PastSince Apr 25, 2004 Accepting new patients

Locations

532 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 746-3330

3301 SW 34th Cir
Ste 102
Ocala, FL 34474
Phone (352) 861-0444

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1396814125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIRCLE",
            "address_2": "SUITE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34474",
            "telephone_number": "352-861-0444",
            "fax_number": "352-861-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIRCLE",
            "address_2": "SUITE 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34474",
            "telephone_number": "352-861-0444",
            "fax_number": "352-861-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P00001605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029711903",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.