Active NPI
Wandra Kaye Miles, M.D.
- Plastic Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD00037271
- Practice address
- 1221 Madison St
Suite 1520
Seattle, WA 98104-3588 - Phone
- (206) 292-6226
- Fax
- (206) 623-8825
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 4971 | AK | |
| Plastic Surgery Physician | 208200000X | MD00037271 | WA | Primary |
Addresses
Primary practice location
1221 Madison St
Suite 1520
Seattle, WA 98104-3588
Mailing address
1221 Madison St
Suite 1520
Seattle, WA 98104-3588
Phone (206) 292-6226
Other practice location 1
901 Boren Ave Ste 1650
Seattle, WA 98104-3508
Phone (206) 215-6221
Other practice location 2
751 NE Blakely Dr Ste 4020
Issaquah, WA 98029-6201
Phone (425) 313-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1107960 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wmiles1042528@wm.providencedirect.org | Direct | |
| Direct Messaging Address | wmiles1042528@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Perelman School of Med at the University of Pennsylvania, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Madison St
Suite 950
Seattle, WA 98104-3592
Phone (206) 215-6221
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
751 NE Blakely Dr
Issaquah, WA 98029-6201
Hospital & facility affiliations
- Swedish Medical Center
- Swedish Issaquah
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.46
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
901 Boren Ave
Ste 1650
Seattle, WA 98104
Phone (206) 215-6221
Interoperability endpoints
- wmiles1042528@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- General Practice Physician
- Renton, WA
- NPI 1497129696
-
- Surgery Physician
- Seattle, WA
- NPI 1053368571
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1902968258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 MADISON ST",
"address_2": "SUITE 1520",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043588",
"telephone_number": "206-292-6226",
"fax_number": "206-623-8825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 MADISON ST",
"address_2": "SUITE 1520",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043588",
"telephone_number": "206-292-6226",
"fax_number": "206-623-8825"
}
],
"practiceLocations": [
{
"address_1": "901 Boren Ave Ste 1650",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043508",
"country_code": "US",
"telephone_number": "206-215-6221",
"fax_number": "206-215-6340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "751 NE Blakely Dr Ste 4020",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "980296201",
"country_code": "US",
"telephone_number": "425-313-4000",
"fax_number": "425-313-7178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILES",
"first_name": "WANDRA",
"middle_name": "KAYE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AK",
"license": "4971",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "WA",
"license": "MD00037271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1107960",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmiles1042528@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "901 Boren Ave Ste 1650",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981043508",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wmiles1042528@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "751 NE Blakely Dr Ste 4020",
"city": "Issaquah",
"state": "WA",
"country_code": "US",
"postal_code": "980296201",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.