Active NPI
Robert Roy Miles, D.O.
- Family Medicine Physician
- Clearwater, FL
National Provider Identifier
1871647990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0005118
- Practice address
- 50 S Belcher Rd
Suite 124
Clearwater, FL 33765-3938 - Phone
- (727) 443-4357
- Fax
- (727) 443-4379
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0005118 | FL | Primary |
Addresses
Primary practice location
50 S Belcher Rd
Suite 124
Clearwater, FL 33765-3938
Mailing address
50 S Belcher Rd
Suite124
Clearwater, FL 33765-3938
Phone (727) 443-4357
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 063213900 | Medicaid | FL | |
| 2025562 | Other | FL | INSURANCE ID |
| 202564 | Other | FL | INSURANCE ID |
| 593623361 | Other | FL | TAX ID |
| 104667 | Other | FL | INSURANCE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0005118 | FL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1871647990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S BELCHER RD",
"address_2": "SUITE124",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337653938",
"telephone_number": "727-443-4357",
"fax_number": "727-443-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S BELCHER RD",
"address_2": "SUITE 124",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337653938",
"telephone_number": "727-443-4357",
"fax_number": "727-443-4379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "ROBERT",
"middle_name": "ROY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS0005118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063213900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE ID",
"identifier": "2025562",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE ID",
"identifier": "202564",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "593623361",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INSURANCE ID",
"identifier": "104667",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.