Matthew Kingsford Miller, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO4450 Issued in FL

Practice address

13600 Icot Blvd BLDG a
Clearwater, FL 33760-3703

Phone

(727) 796-6900

Fax

(727) 669-8417

NPI assigned

Jun 25, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Center of Pinellas IncGroup PAC ID 8527961028, 65 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Health Center of Pinellas Inc

  dba Evara Health

  • Federally Qualified Health Center (FQHC)
  • Clearwater, FL
  • NPI 1467873315
  Medicare reassignment Care Compare group NPD
• Community Health Center of Pinellas Inc

  dba Community Health Center at Mobile Health Center

  • Federally Qualified Health Center (FQHC)
  • St Petersburg, FL
  • NPI 1194283382
  NPD
• Community Health Centers of Pinellas Inc.

  dba Evara Health

  • Pharmacy
  • Clearwater, FL
  • NPI 1467273383
  NPD
• Advanced Foot and Ankle Care, Inc.

  • Podiatrist
  • Sarasota, FL
  • NPI 1194772863
  NPD (past)
• Barbara Freeman

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1285199299
  NPD (past)
• Community Health Centers of Pinellas Inc.

  dba Evara Health

  • Federally Qualified Health Center (FQHC)
  • Clearwater, FL
  • NPI 1609586098
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1508427089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 7TH AVE N",
            "city": "TIERRA VERDE",
            "state": "FL",
            "postal_code": "337151820",
            "telephone_number": "727-512-8741",
            "fax_number": "727-669-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13600 ICOT BLVD BLDG A",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603703",
            "telephone_number": "727-796-6900",
            "fax_number": "727-669-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MATTHEW",
        "middle_name": "KINGSFORD",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Miller
• Carol Kingsley Miller, LCSW
• Chelsea Miller, LMHC
• Christine P Miller, DPM
• Lauren Miller
• Mitchell B Miller, M.D.
• Pamela F. Miller, MSC
• Rachel Miller, B.A.
• Shanette Miller
• Suzan Miller, LMHC

• Foot & Ankle Surgery Podiatrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.

Verify at the official NPI Registry.