Individual provider Active NPI

Gary A Miller, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Toledo, OH
National Provider Identifier
1750367959
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002438 Issued in OH
Practice address
3106 Tremainsville Rd
Toledo, OH 43613
Phone
(419) 474-7700
Fax
(419) 474-0896
NPI assigned
Dec 20, 2005
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 36.002438 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 36002438 OH Primary

Addresses

Primary practice location

3106 Tremainsville Rd
Toledo, OH 43613

Mailing address

PO Box 167875
Oregon, OH 43616-7875
Phone (419) 474-7700

Other identifiers 1

IdentifierTypeStateIssuer
0730267MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050330000792 OH Practitioner - Podiatry 1850347006 Reassigns benefits to 1 organization
Practice locations: Toledo, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1568
Removal or shaving of skin growth39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.002438OHMDPrimary Podiatric Medicine Podiatrist
002395NYMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical, Inc. CurrentSince Jun 25, 2024 Accepting new patients
Mobile Medical, Inc. CurrentSince Jun 25, 2024 Accepting new patients
Mobile Medical Inc Current Accepting new patients
Heel and Toe Podiatry LLC Primary Podiatric Medicine PastSince Dec 1, 2022 Accepting new patients

Locations

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1750367959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167875",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436167875",
            "telephone_number": "419-474-7700",
            "fax_number": "419-474-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 TREMAINSVILLE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43613",
            "telephone_number": "419-474-7700",
            "fax_number": "419-474-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GARY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "36.002438",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0730267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.