Individual provider Active NPI

Andrew Miller

  • Foot & Ankle Surgery Podiatrist
  • Dover Foxcroft, ME
National Provider Identifier
1538519699
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD1126 Issued in ME
Practice address
188 Summer St
Dover Foxcroft, ME 04426-1129
Phone
(207) 538-3700
Fax
(207) 528-2880
NPI assigned
Jun 20, 2016
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 POD1126 ME Primary

Addresses

Primary practice location

188 Summer St
Dover Foxcroft, ME 04426-1129

Mailing address

529 S Patten Rd
Patten, ME 04765-3007
Phone (207) 538-3700

Other practice location 1

180 Main Rd
Brownville, ME 04414-3107
Phone (207) 538-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20220323000230 ME Practitioner - Podiatry 8921392408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians
MRH CorpGroup PAC ID 1355770892, 36 clinicians

Practice addresses (Care Compare)

180 Main Rd
Brownville, ME 04414-3107
Phone (207) 528-2285

50 Summer St
Millinocket, ME 04462-1400
Phone (207) 528-2285

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD1126MEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center Current Accepting new patients
Katahdin Valley Health Center CurrentSince Mar 7, 2022 Accepting new patients
Katahdin Valley Health Center CurrentSince Mar 7, 2022 Accepting new patients
MRH Corp. Past Accepting new patients
Redwood Podiatry Group PastSince Jul 15, 2019 Accepting new patients

Locations

33 Walker St
Ashland, ME 04732
Phone (207) 435-6341

180 Main Rd
Brownville, ME 04414
Phone (207) 965-8700

188 Summer St
Dover Foxcroft, ME 04426
Phone (207) 447-4975

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

50 Summer St
Millinocket, ME 04462
Phone (207) 723-6565

30 Houlton St
Patten, ME 04765
Phone (866) 366-5842

529 S Patten Rd
Patten, ME 04765

Interoperability endpoints

  • Direct secure messaging: andrew.miller.1@7377.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1538519699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 SUMMER ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261129",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Main Rd",
            "address_purpose": "LOCATION",
            "city": "Brownville",
            "state": "ME",
            "postal_code": "044143107",
            "country_code": "US",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ME",
            "license": "POD1126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.