Active NPI
David Anthony Miles, CRNA
- Certified Registered Nurse Anesthetist
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209001167
- Practice address
- 8701 Broadway # C-124
Merrillville, IN 46410-7035 - Phone
- (219) 738-4929
- NPI assigned
- Jul 4, 2006
- Last updated
- Nov 10, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28116051A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 209001167 | IL | Primary |
Addresses
Primary practice location
8701 Broadway # C-124
Merrillville, IN 46410-7035
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (571) 787-6440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200115520 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rush Medical College of Rush University, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Maple Rd
Joliet, IL 60432-1439
Phone (815) 740-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28116051A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Indiana II, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Allied Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Crawford Avenue Anesthesia Provider Services Urbana, LLC | Past | Accepting new patients | |
| American Anesthesiology of Illinois, LLC | Past | Accepting new patients | |
| Southwest Anesthesia Consultants, LLC | Past | Accepting new patients | |
| Methodist Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Metro Area Pain Consultants, LTD | Past | Accepting new patients | |
| Illinois Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
8701 Broadway
#C124
Merrillville, IN 46410
Phone (219) 738-4928
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 12
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.
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1629475421
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1326224270
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1821045410
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Urbana, IL
- NPI 1134566615
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1962459669
Nurse Anesthetist, Certified Registered
-
- Specialist
- Kankakee, IL
- NPI 1912982125
-
- Specialist
- Olympia Fields, IL
- NPI 1750434197
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1497785323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "571-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 BROADWAY # C-124",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107035",
"telephone_number": "219-738-4929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "DAVID",
"middle_name": "ANTHONY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28116051A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209001167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200115520",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.