Individual provider Active NPI

Kevin Alexander Miles, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Reno, NV
National Provider Identifier
1649205980
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
7995 Issued in NV
Practice address
890 Mill St
Suite 102
Reno, NV 89502-1442
Phone
(775) 324-6300
Fax
(775) 324-6301
NPI assigned
Jul 12, 2006
Last updated
Nov 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1221 NV
Physical Medicine & Rehabilitation Physician 208100000X 7995 NV Primary

Addresses

Primary practice location

890 Mill St
Suite 102
Reno, NV 89502-1442

Mailing address

PO Box 17418
Reno, NV 89511-7418
Phone (775) 324-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051017000804 NV Practitioner - Physical Medicine and Rehabilitation 7911808068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7995NVMDGeneral Practice Dentistry
1221NVMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Picetti LTD Past Accepting new patients

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1649205980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17418",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895117418",
            "telephone_number": "775-324-6300",
            "fax_number": "775-324-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MILL ST",
            "address_2": "SUITE 102",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021442",
            "telephone_number": "775-324-6300",
            "fax_number": "775-324-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "KEVIN",
        "middle_name": "ALEXANDER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "1221",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NV",
            "license": "7995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.