Active NPI
Jerry Keith Miles, D.P.M.
- Podiatrist
- Houston, TX
National Provider Identifier
1710914973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1327
- Practice address
- 17215 Red Oak Dr
Suite 102
Houston, TX 77090-2697 - Phone
- (281) 444-4114
- Fax
- (281) 444-7789
- NPI assigned
- Jun 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1327 | TX | Primary |
Addresses
Primary practice location
17215 Red Oak Dr
Suite 102
Houston, TX 77090-2697
Mailing address
17215 Red Oak Dr
Suite 102
Houston, TX 77090-2697
Phone (281) 444-4114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127189202 | Medicaid | TX | |
| 80203X | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17215 Red Oak Dr
Suite 102
Houston, TX 77090-2611
Phone (281) 444-4114
400 Bypass LN
Suite 110
Livingston, TX 77351-7380
Phone (936) 327-4400
Hospital & facility affiliations
- Pinard Home Health Inc
- HCA Houston Healthcare Kingwood
- HCA Houston Healthcare Northwest
- CHI St Lukes Health Memorial Livingston
- Memorial Hermann Northeast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 258 |
| Removal of skin lesions | 38 |
| Removal of nail tissue | 541 |
| Removal or shaving of skin growth | 147 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1327 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drmiles Foot and Ankle PLLC | Current | Accepting new patients | |
| Foot and Ankle Center of North Houston P a | Podiatrist | Current | Accepting new patients |
| Baylor St. Luke'S Medical Group | Past | Accepting new patients |
Locations
17215 Red Oak Dr
Ste 102
Houston, TX 77090
Phone (281) 444-4114
8901 FM 1960 Bypass Rd W
Ste 305
Humble, TX 77338
Phone (281) 446-7773
400 Bypass Ln
Ste 110
Livingston, TX 77352
Phone (936) 252-1147
17450 St Lukes Way
Ste 190
The Woodlands, TX 77384
Phone (936) 231-8500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIHBCA
- jerrymiles@faaconhpa-tx.direct.office.nextgen.com
- jemiles@direct.uspi.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Podiatrist
- Houston, TX
- NPI 1457393795
-
- Foot & Ankle Surgery Podiatrist
- Coldspring, TX
- NPI 1114869666
-
- Internal Medicine Physician
- The Woodlands, TX
- NPI 1740485879
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740450121
-
- General Acute Care Hospital
- Kingwood, TX
- NPI 1811942238
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- Rural Acute Care Hospital
- Livingston, TX
- NPI 1689650616
-
- Home Health Agency
- Spring, TX
- NPI 1053452441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1710914973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17215 RED OAK DR",
"address_2": "SUITE 102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902697",
"telephone_number": "281-444-4114",
"fax_number": "281-444-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17215 RED OAK DR",
"address_2": "SUITE 102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770902697",
"telephone_number": "281-444-4114",
"fax_number": "281-444-7789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "JERRY",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127189202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "80203X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.