Individual provider Active NPI

John P. Miller, DPM

  • Foot Surgery Podiatrist
  • Olean, NY
National Provider Identifier
1922189760
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N003364-1 Issued in NY
Practice address
2646 W State St
Olean, NY 14760-1866
Phone
(716) 373-3338
Fax
(716) 373-4825
NPI assigned
Oct 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X N003364-1 NY Primary

Addresses

Primary practice location

2646 W State St
Olean, NY 14760-1866

Mailing address

2646 W State St
Olean, NY 14760-1866
Phone (716) 373-3338

Other identifiers 9

IdentifierTypeStateIssuer
00010256601OtherNYCHOICE CARE
0010256601OtherNYUNIVERA
00508537007OtherNYCOMMUNITY BLUE (BC/BS WNY
N003364-1OtherNYNYS PODIATRY LICENSE #
16-1183452OtherNYEMPLOYER IDENTIFICATION #
000508537007OtherNYBC/BS OF WNY
10400030OtherNYNYS MEDICAID HMO
P033648OtherNYWORKMEN'S COMPENSATION
00716752MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100302000847 NY Practitioner - Podiatry 9133264179 Practice locations: Olean, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2646 W State St
Olean, NY 14706-1866
Phone (716) 373-3338

2646 W State St
Suite 400
Olean, NY 14760-1866

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue48
Removal of skin lesions1-10
Removal of nail tissue964
Removal or shaving of skin growth217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003364NYMDRegistered Dietitian
N003364-1NYMDFoot Surgery Podiatrist

Hospital & facility affiliations 2

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922189760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601866",
            "telephone_number": "716-373-3338",
            "fax_number": "716-373-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 W STATE ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601866",
            "telephone_number": "716-373-3338",
            "fax_number": "716-373-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N003364-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE",
            "identifier": "00010256601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0010256601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE (BC/BS WNY",
            "identifier": "00508537007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PODIATRY LICENSE #",
            "identifier": "N003364-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER IDENTIFICATION #",
            "identifier": "16-1183452",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY",
            "identifier": "000508537007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAID HMO",
            "identifier": "10400030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMEN'S COMPENSATION",
            "identifier": "P033648",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00716752",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

Verify at the official NPI Registry.