Individual provider Active NPI

Michael Todd Wiles, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chattanooga, TN
National Provider Identifier
1598853970
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
663 Issued in TN
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070524000716 TN Practitioner - Podiatry 7012014533 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue321
Removal of nail tissue666
Removal or shaving of skin growth262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001113GAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
United Foot and Ankle LLC Podiatrist CurrentSince Dec 8, 2019 Accepting new patients
Chattanooga Podiatry Center, PC Foot & Ankle Surgery PastSince Jul 1, 2006 Accepting new patients

Locations

5959 Shallowford Rd
Ste 213
Chattanooga, TN 37421
Phone (314) 872-1371

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.