Active NPI
Steven Haverstock Miles, MD
- Internal Medicine Physician
- Minneapolis, MN
National Provider Identifier
1497830467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23602
- Practice address
- 701 Park Avenue (P7.730)
Medicine Clinic
Minneapolis, MN 55415-1829 - Phone
- (612) 873-2300
- Fax
- (612) 904-4261
- NPI assigned
- Oct 26, 2006
- Last updated
- Feb 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23602 | MN | Primary |
Addresses
Primary practice location
701 Park Avenue (P7.730)
Medicine Clinic
Minneapolis, MN 55415-1829
Mailing address
701 Park Avenue (P7.730)
Medicine Clinic
Minneapolis, MN 55415-1829
Phone (612) 873-2300
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hennepin Healthcare System, Inc | Past | Accepting new patients | |
| University of Minnesota Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Hennepin County Medical Center
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1407897309
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1497830467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 PARK AVENUE (P7.730)",
"address_2": "MEDICINE CLINIC",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151829",
"telephone_number": "612-873-2300",
"fax_number": "612-904-4261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 PARK AVENUE (P7.730)",
"address_2": "MEDICINE CLINIC",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554151829",
"telephone_number": "612-873-2300",
"fax_number": "612-904-4261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "STEVEN",
"middle_name": "HAVERSTOCK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MN",
"license": "23602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.