Active NPI
John P. Miller, DPM
- Foot Surgery Podiatrist
- Olean, NY
National Provider Identifier
1922189760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- N003364-1
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00010256601 | Other | NY | CHOICE CARE |
| 0010256601 | Other | NY | UNIVERA |
| 00508537007 | Other | NY | COMMUNITY BLUE (BC/BS WNY |
| N003364-1 | Other | NY | NYS PODIATRY LICENSE # |
| 16-1183452 | Other | NY | EMPLOYER IDENTIFICATION # |
| 000508537007 | Other | NY | BC/BS OF WNY |
| 10400030 | Other | NY | NYS MEDICAID HMO |
| P033648 | Other | NY | WORKMEN'S COMPENSATION |
| 00716752 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 48 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 964 |
| Removal or shaving of skin growth | 217 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003364 | NY | MD | Registered Dietitian |
| N003364-1 | NY | MD | Foot Surgery Podiatrist |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.