Active NPI
Michael Todd Wiles, DPM
- Foot & Ankle Surgery Podiatrist
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 663
- Practice address
- 5959 Shallowford Rd Ste 213
Chattanooga, TN 37421-2215 - Phone
- (423) 760-3668
- Fax
- (423) 760-3660
- NPI assigned
- Oct 10, 2006
- Last updated
- Sep 24, 2020
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | POD001113 | GA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 663 | TN | Primary |
Addresses
Primary practice location
5959 Shallowford Rd Ste 213
Chattanooga, TN 37421-2215
Mailing address
5959 Shallowford Rd Ste 213
Chattanooga, TN 37421-2215
Phone (423) 760-3668
Other practice location 1
2368 Battlefield Pkwy
Ft Oglethorpe, GA 30742-4030
Phone (706) 861-6200
Other practice location 2
5617 Highway 153 Ste 102
Hixson, TN 37343
Phone (423) 875-9211
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drwiles@UFaA-TN.direct.office.nextgen.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5959 Shallowford Rd
Suite 213
Chattanooga, TN 37421-2215
Phone (423) 760-3668
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 321 |
| Removal of nail tissue | 666 |
| Removal or shaving of skin growth | 262 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD001113 | GA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Foot and Ankle LLC | Podiatrist | Current | Accepting new patients |
| Chattanooga Podiatry Center, PC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
5959 Shallowford Rd
Ste 213
Chattanooga, TN 37421
Phone (314) 872-1371
Interoperability endpoints
- drwiles@ufaa-tn.direct.office.nextgen.com
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.
-
- Foot & Ankle Surgery Podiatrist
- Chattanooga, TN
- NPI 1366507360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1598853970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 SHALLOWFORD RD STE 213",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212215",
"telephone_number": "423-760-3668",
"fax_number": "423-760-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 SHALLOWFORD RD STE 213",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212215",
"telephone_number": "423-760-3668",
"fax_number": "423-760-3660"
}
],
"practiceLocations": [
{
"address_1": "2368 Battlefield Pkwy",
"address_purpose": "LOCATION",
"city": "Ft Oglethorpe",
"state": "GA",
"postal_code": "307424030",
"country_code": "US",
"telephone_number": "706-861-6200",
"fax_number": "706-861-6222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5617 Highway 153 Ste 102",
"address_purpose": "LOCATION",
"city": "Hixson",
"state": "TN",
"postal_code": "37343",
"country_code": "US",
"telephone_number": "423-875-9211",
"fax_number": "423-877-4403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILES",
"first_name": "MICHAEL",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "GA",
"license": "POD001113",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TN",
"license": "663",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drwiles@UFaA-TN.direct.office.nextgen.com",
"affiliation": "N",
"endpointDescription": "Nextgen endpoint",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5959 Shallowford Rd Ste 213",
"city": "Chattanooga",
"state": "TN",
"country_code": "US",
"postal_code": "374212215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.