Active NPI
John S Miles, D.P.M.
- Podiatrist
- Peru, IN
National Provider Identifier
1477556140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 07000378A
- Practice address
- 685 E Main St
Peru, IN 46970-2637 - Phone
- (765) 472-4930
- Fax
- (765) 472-4330
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 07000378A | IN | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 07000378A | IN | |
| Foot Surgery Podiatrist | 213ES0131X | 07000378A | IN |
Addresses
Primary practice location
685 E Main St
Peru, IN 46970-2637
Mailing address
685 E Main St
Peru, IN 46970-2637
Phone (765) 472-4930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000174145 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1477556140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 E MAIN ST",
"city": "PERU",
"state": "IN",
"postal_code": "469702637",
"telephone_number": "765-472-4930",
"fax_number": "765-472-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 E MAIN ST",
"city": "PERU",
"state": "IN",
"postal_code": "469702637",
"telephone_number": "765-472-4930",
"fax_number": "765-472-4330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JOHN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IN",
"license": "07000378A",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "IN",
"license": "07000378A",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "IN",
"license": "07000378A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000174145",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peru, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.