Individual provider Active NPI

Nicholas Miller, DPM

  • Podiatrist
  • Charlotte, NC
National Provider Identifier
1528590924
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
741 Issued in NC
Practice address
717 S Torrence St
Charlotte, NC 28204-2927
Phone
(704) 334-8682
NPI assigned
Apr 3, 2017
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 741 NC Primary
Podiatrist 213E00000X 135.000956 IL
Foot & Ankle Surgery Podiatrist 213ES0103X 741 NC

Addresses

Primary practice location

717 S Torrence St
Charlotte, NC 28204-2927

Mailing address

PO Box 844572
Boston, MA 02284-4572

Other practice location 1

10370 Park Rd Ste 100
Charlotte, NC 28210-8509
Phone (704) 542-8253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200819004223 NC Practitioner - Podiatry 2264702927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10370 Park Rd
Suite 100
Charlotte, NC 28210-8509
Phone (704) 542-8253

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue79
Removal of skin lesions63
Removal of nail tissue527
Removal or shaving of skin growth263
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135.000956ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist Current Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Sep 14, 2020 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Sep 14, 2020 Accepting new patients

Locations

10370 Park Rd
Ste 100
Charlotte, NC 28210
Phone (704) 542-8253

717 S Torrence St
Charlotte, NC 28204
Phone (704) 334-8682

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

Interoperability endpoints

  • Direct secure messaging: nmiller@usfas.emadirect.md
  • Direct secure messaging: nmiller873581@direct.unc.nchie.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1528590924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844572",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022844572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S TORRENCE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042927",
            "telephone_number": "704-334-8682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10370 Park Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282108509",
            "country_code": "US",
            "telephone_number": "704-542-8253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICHOLAS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "741",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "135.000956",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.