Active NPI
Jennifer R Miller, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Saint Louis, MO
National Provider Identifier
1477841252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5901002359
- Practice address
- 10430 Page Ave
Saint Louis, MO 63132-1228 - Phone
- (314) 426-8811
- Fax
- (314) 423-8824
- NPI assigned
- Jul 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 5901002359 | MI | Primary |
Addresses
Primary practice location
10430 Page Ave
Saint Louis, MO 63132-1228
Mailing address
10430 Page Ave
Saint Louis, MO 63132-1228
Phone (314) 426-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 M L King Dr
Centralia, IL 62801-3060
Phone (618) 532-4465
Hospital & facility affiliations
- Fairfield Memorial Hospital 1
- SSM Health St Mary'S Hospital -Centralia
- Good Samaritan Regional HLTH Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 143 |
| Removal of skin lesions | 74 |
| Removal of nail tissue | 1363 |
| Removal or shaving of skin growth | 441 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5901002359 | MI | MD | Foot & Ankle Surgery Podiatrist |
Interoperability endpoints
- jmiller102270@direct-ehr-ssmhc.com
Organizations & group practices 1
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 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1477841252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10430 PAGE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631321228",
"telephone_number": "314-426-8811",
"fax_number": "314-423-8824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10430 PAGE AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631321228",
"telephone_number": "314-426-8811",
"fax_number": "314-423-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JENNIFER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-14",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MI",
"license": "5901002359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.