Individual provider Active NPI

Sheldon Miller, DPM

  • Podiatrist
  • Rockaway Park, NY
National Provider Identifier
1932280856
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004644 Issued in NY
Practice address
15 Beach 105TH St
Rockaway Park, NY 11694-2640
Phone
(718) 474-0899
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004644 NY Primary

Addresses

Primary practice location

15 Beach 105TH St
Rockaway Park, NY 11694-2640

Mailing address

15 Beach 105TH St
Rockaway Park, NY 11694-2640
Phone (718) 474-0899

Other identifiers 1

IdentifierTypeStateIssuer
01179973MedicaidNY

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
I20080403000065 NY Practitioner - Podiatry 4880771666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Beach 105TH St
Rockaway Park, NY 11694-2640
Phone (718) 474-0899

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions29
Removal of nail tissue295
Removal or shaving of skin growth106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004644NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheldon W. Miller DPM PC Podiatrist CurrentSince Feb 1, 2008 Accepting new patients
Rafael Yakutilov Neurology, PC Past Accepting new patients
Lacher Footcare PC Podiatrist Past Accepting new patients

Locations

445 Central Ave
Unit 327
Cedarhurst, NY 11516
Phone (516) 284-1273

15 Beach 105th St
Rockaway Park, NY 11694
Phone (718) 474-0023

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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.

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": "1239062400000",
    "number": "1932280856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BEACH 105TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942640",
            "telephone_number": "718-474-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BEACH 105TH ST",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942640",
            "telephone_number": "718-474-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHELDON",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01179973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

Verify at the official NPI Registry.