Organization Active NPI

Miles Medical Group LLC

  • Physical Medicine & Rehabilitation Physician
  • Leawood, KS
National Provider Identifier
1679718720
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2002018384 Issued in MO
Legal business name
MILES MEDICAL GROUP LLC
Practice address
11111 Nall Ave Ste 218
Leawood, KS 66211-1695
Phone
(913) 261-9812
Fax
(816) 608-2805
NPI assigned
Dec 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Dr. Shynda F. Miles, MDNPI 1033146949
Title
President
Phone
(913) 261-9812

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 2002018384 MO Primary

Addresses

Primary practice location

11111 Nall Ave Ste 218
Leawood, KS 66211-1695

Mailing address

11111 Nall Ave Ste 218
Leawood, KS 66211-1695
Phone (913) 261-9812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000431 KS Part B Supplier - Clinic/Group Practice 1951464593 Receives reassigned benefits from 2 practitioners
Practice locations: Leawood, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2217818Miles Medical Group, LLC11111 Nall Avenue, Suite 218, Leawood, KS 66211Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

Locations

11111 Nall Ave
Ste 218
Leawood, KS 66211
Phone (913) 261-9812

8800 State Line Rd
Leawood, KS 66206
Phone (913) 383-9099

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1679718720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE STE 218",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111695",
            "telephone_number": "913-261-9812",
            "fax_number": "816-608-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 NALL AVE STE 218",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111695",
            "telephone_number": "913-261-9812",
            "fax_number": "816-608-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "SHYNDA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-261-9812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2002018384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.