Individual provider Active NPI

Jennifer R Miller, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
National Provider Identifier
1477841252
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002359 Issued in MI
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

Updated by the provider on Jan 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130621000076 IL Practitioner - Podiatry 5698914778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S Thomas Sehy D P M L L CGroup PAC ID 8426010398, 3 clinicians

Practice addresses (Care Compare)

1050 M L King Dr
Centralia, IL 62801-3060
Phone (618) 532-4465

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue143
Removal of skin lesions74
Removal of nail tissue1363
Removal or shaving of skin growth441
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002359MIMDFoot & Ankle Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.