Individual provider Active NPI

Michael Graham Miles, MD

  • Internal Medicine Physician
  • Glens Falls, NY
National Provider Identifier
1649412982
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
268277 Issued in NY
Practice address
38 Larose St
Glens Falls, NY 12801-3452
Phone
(518) 824-8181
Fax
(833) 819-0268
NPI assigned
Apr 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 268277 NY Primary

Addresses

Primary practice location

38 Larose St
Glens Falls, NY 12801-3452

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
03546343MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.miles.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130502000190 NY Practitioner - Internal Medicine 1456507623 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

126 Ski Bowl Rd
North Creek, NY 12853-2607
Phone (518) 251-2541

24 Fairfield Ave
Schroon Lake, NY 12870-0292
Phone (518) 532-7120

Hospital & facility affiliations

  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268277NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc. Internal Medicine CurrentSince Feb 26, 2013 Accepting new patients
Glens Falls Hospital Inc CurrentSince Feb 26, 2013 Accepting new patients
Hudson Headwaters Health Network CurrentSince May 13, 2019 Accepting new patients
Hudson Headwaters Health Network Internal Medicine CurrentSince May 13, 2019 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients
Glens Falls Hospital Inc Past Accepting new patients

Locations

38 Larose St
Glens Falls, NY 12801
Phone (518) 824-8181

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

126 Ski Bowl Rd
North Creek, NY 12853
Phone (518) 251-2541

9 Carey Rd
Queensbury, NY 12804

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 and National Provider Directory roles.

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1649412982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 LAROSE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013452",
            "telephone_number": "518-824-8181",
            "fax_number": "833-819-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "MICHAEL",
        "middle_name": "GRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-01",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "268277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03546343",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.miles.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "38 Larose St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128013452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.