Individual provider Active NPI

Patrick T Miles, D.C.

  • Chiropractor
  • Holyoke, MA
National Provider Identifier
1720312473
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3247 Issued in MA
Practice address
850 High St
Suite 2B
Holyoke, MA 01040-3739
Phone
(413) 536-0142
Fax
(413) 536-0607
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3247 MA Primary

Addresses

Primary practice location

850 High St
Suite 2B
Holyoke, MA 01040-3739

Mailing address

850 High St
Suite 2B
Holyoke, MA 01040-3739
Phone (413) 536-0142

Other identifiers 6

IdentifierTypeStateIssuer
AA158479OtherHARVARD PILGRIM
00003114577 03OtherUNITED HEALTHCARE
0506467OtherNEIGHBORHOOD HEALTH PLAN
9231388OtherAETNA
110084996AMedicaidMA
742223OtherOPTUMHEALTH GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425000073 NY Practitioner - Chiropractic 7618016247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Chiropractic, PLLCGroup PAC ID 4486718319, 3 clinicians

Practice addresses (Care Compare)

1539 Crescent Rd
Clifton Park, NY 12065-7701
Phone (518) 373-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3247MAMDChiropractor
011760NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Chiropractic, PLLC Chiropractor CurrentSince Mar 26, 2019 Accepting new patients

Locations

1539 Crescent Rd
Clifton Park, NY 12065
Phone (518) 373-9999

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1720312473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HIGH ST",
            "address_2": "SUITE 2B",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403739",
            "telephone_number": "413-536-0142",
            "fax_number": "413-536-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HIGH ST",
            "address_2": "SUITE 2B",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403739",
            "telephone_number": "413-536-0142",
            "fax_number": "413-536-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "PATRICK",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA158479",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "00003114577 03",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0506467",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9231388",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084996A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUMHEALTH GROUP",
            "identifier": "742223",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.