Miles Dustin Sumner, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016411-1 Issued in NY

Practice address

3332 Walden Ave Ste 110
Depew, NY 14043-2400

Phone

(716) 668-7051

Fax

(716) 668-7069

NPI assigned

Nov 28, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, TX, TN, NM, AZ, ID, MT, FL8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 8

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msumner266838@cityofhope.direct-ci.com
• Direct secure messaging: msumner1260964@ahs.direct-ci.com

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.

• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  AZ, FL, ID, MT, NM, Physician Assistant, TN

  Medicare reassignment Care Compare group NPD
• Buffalo Emergency Associates LLP

  • Emergency Medicine Physician
  • Williamsville, NY
  • NPI 1508816521
  Medicare reassignment
• Vascular-Interventional Associates, P.C.

  • Vascular & Interventional Radiology Physician
  • Lancaster, NY
  • NPI 1881735496
  Medicare reassignment
• Family Choice of New York Medical PC

  • General Practice Physician
  • Depew, NY
  • NPI 1720312754
  NPD (past)
• Grider Medical Services, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Amherst, NY
  • NPI 1285912055
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1881939106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 COLIN CT",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141203601",
            "telephone_number": "716-491-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 WALDEN AVE STE 110",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140432400",
            "telephone_number": "716-668-7051",
            "fax_number": "716-668-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "MILES",
        "middle_name": "DUSTIN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016411-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jamie Flavia Streicher, D.O.
• Warren Edward Stresing, D.D.S.
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• Marian Swanekamp, RPH
• Maureen Szuniewicz, OTR/L
• Walter R Szymanski, PT
• Olivia Marie Taneff

• Physician Assistant in Depew, NY
• Providers in Depew, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.

Verify at the official NPI Registry.