Individual provider Active NPI

David E Miller, DPM

  • Foot & Ankle Surgery Podiatrist
  • Appleton, WI
National Provider Identifier
1407825029
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
935 Issued in WI
Practice address
1531 S Madison St
Appleton, WI 54915
Phone
(920) 996-3700
NPI assigned
Mar 16, 2006
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 935 WI
Foot & Ankle Surgery Podiatrist 213ES0103X SC004777R PA
Foot & Ankle Surgery Podiatrist 213ES0103X 935 WI Primary

Addresses

Primary practice location

1531 S Madison St
Appleton, WI 54915

Mailing address

1531 S Madison St
Appleton, WI 54915
Phone (920) 996-3700

Other identifiers 1

IdentifierTypeStateIssuer
43242800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20070830000634 WI Practitioner - Podiatry 8224121660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

1531 S Madison St
Appleton, WI 54915-1800

2700 W 9TH Ave
Oshkosh, WI 54904-7247

3329 N Richard St
Appleton, WI 54911-1063
Phone (920) 380-2715

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue11
Removal of skin lesions16
Removal of nail tissue272
Removal or shaving of skin growth99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
935WIMDClinical Social Worker
SC004777RPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Aug 27, 2007 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Aug 27, 2007 Accepting new patients
Beech Tree Podiatry, P.C. Podiatrist Past Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

1531 S Madison St
Appleton, WI 54915
Phone (920) 730-4411

1531 S Madison St
Fl 4
Appleton, WI 54915
Phone (920) 730-2617

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

2700 W 9th Ave
Ste 110
Oshkosh, WI 54904
Phone (920) 628-9727

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Ascension Columbia St. Mary's HospitalMilwaukee, WI, CCN 520051 Hospital Corporate Director Jan 1, 2026
Ascension NE Wisconsin-St Elizabeth CampusAppleton, WI, CCN 520009 Hospital Corporate Director Jul 1, 2024
Ascension Calumet HospitalChilton, WI, CCN 521317 Hospital Corporate Director Jul 1, 2024
Ascension Calumet HospitalChilton, WI, CCN 52Z317 Hospital Corporate Director Jul 1, 2024
Ascension NE Wisconsin-Mercy CampusOshkosh, WI, CCN 52T009 Hospital Corporate Director Jul 1, 2024
Ascension NE Wisconsin-Mercy CampusOshkosh, WI, CCN 52000901 Hospital Corporate Director Jul 1, 2024

Owned or controlled facilities with NPI records 6

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

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1407825029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S MADISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-996-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S MADISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54915",
            "telephone_number": "920-996-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "935",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004777R",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43242800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.