Active NPI
John M Miller, DPM
- Podiatrist
- Louisville, CO
National Provider Identifier
1932277274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 454
- Practice address
- 335 W South Boulder Road
Suite 5
Louisville, CO 80027-1192 - Phone
- (303) 665-1195
- Fax
- (303) 665-8144
- NPI assigned
- Dec 4, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 454 | CO | Primary |
Addresses
Primary practice location
335 W South Boulder Road
Suite 5
Louisville, CO 80027-1192
Mailing address
335 W South Boulder Road
Suite 5
Louisville, CO 80027-1192
Phone (303) 665-1195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01004548 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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 |
|---|---|---|---|---|
| I20101123000987 | CO | Practitioner - Podiatry | 3072722040 | Practice locations: Louisville, CO |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
335 W S Boulder Rd
Suite 5
Louisville, CO 80027-1192
Phone (303) 665-1195
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 382 |
| Removal or shaving of skin growth | 204 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 454 | CO | MD | Otolaryngology Physician |
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1932277274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 W SOUTH BOULDER ROAD",
"address_2": "SUITE 5",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271192",
"telephone_number": "303-665-1195",
"fax_number": "303-665-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 W SOUTH BOULDER ROAD",
"address_2": "SUITE 5",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271192",
"telephone_number": "303-665-1195",
"fax_number": "303-665-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOHN",
"middle_name": "M",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CO",
"license": "454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01004548",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.