Individual provider Active NPI

Kevin B Miller, DPM

  • Podiatrist
  • Lancaster, PA
National Provider Identifier
1740222629
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003272L Issued in PA
Practice address
2112 Harrisburg Pike
Ste 1
Lancaster, PA 17604-3200
Phone
(717) 544-3577
Fax
(717) 544-3579
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003272L PA Primary

Addresses

Primary practice location

2112 Harrisburg Pike
Ste 1
Lancaster, PA 17604-3200

Mailing address

PO Box 3200
Suite 1
Lancaster, PA 17604-3200
Phone (717) 544-3577

Other identifiers 1

IdentifierTypeStateIssuer
0072724410002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031115000035 PA Practitioner - Podiatry 2163336090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates of Lancaster, LLCGroup PAC ID 0143350496, 3 clinicians

Practice addresses (Care Compare)

2112 Harrisburg Pike
Suite 1
Lancaster, PA 17601-2644
Phone (717) 544-3577

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1223
Removal or shaving of skin growth665
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC003272LPAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Larry a Bell DPM PastSince Oct 25, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kevin-miller-dpm@faaaoll-pa.direct.office.nextgen.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1740222629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3200",
            "address_2": "SUITE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176043200",
            "telephone_number": "717-544-3577",
            "fax_number": "717-544-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 HARRISBURG PIKE",
            "address_2": "STE 1",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176043200",
            "telephone_number": "717-544-3577",
            "fax_number": "717-544-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "B",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003272L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072724410002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.