Individual provider Active NPI

Philip James Kass Miles, M.D.

  • Internal Medicine Physician
  • Dodgeville, WI
National Provider Identifier
1952797631
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
66822 Issued in WI
Practice address
833 S Iowa St Ste 102
Dodgeville, WI 53533-1900
Phone
(608) 935-3301
Fax
(608) 835-3823
NPI assigned
Apr 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5701 WI
Internal Medicine Physician 207R00000X 51861 IA
Internal Medicine Physician 207R00000X 66822 WI Primary

Addresses

Primary practice location

833 S Iowa St Ste 102
Dodgeville, WI 53533-1900

Mailing address

833 S Iowa St Ste 102
Dodgeville, WI 53533-1900
Phone (608) 935-3301

Other identifiers 1

IdentifierTypeStateIssuer
1952797631MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pmiles314780@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190206001572 WI Practitioner - Internal MedicinePractitioner - Family Practice 7618285990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Wisconsin School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Health Systems IncGroup PAC ID 7012827983, 1,174 clinicians

Practice addresses (Care Compare)

833 S Iowa St
Suite 102
Dodgeville, WI 53533-1900
Phone (608) 935-3301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. CurrentSince Jul 19, 2024 Accepting new patients
Reedsburg Area Medical Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Reedsburg Area Medical Center Inc CurrentSince Jan 1, 2019 Accepting new patients
Dean Health Systems, Inc Internal Medicine CurrentSince Jul 19, 2024 Accepting new patients
Vohra Wound Physicians of the Mid-West, S.C. CurrentSince Aug 23, 2021 Accepting new patients
Stoughton Hospital Association Past Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

Interoperability endpoints

  • Direct secure messaging: pmiles314780@direct-ehr-ssmhc.com
  • Direct secure messaging: philip.miles@449542123749380.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 9

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1952797631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST STE 102",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331900",
            "telephone_number": "608-935-3301",
            "fax_number": "608-935-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S IOWA ST STE 102",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331900",
            "telephone_number": "608-935-3301",
            "fax_number": "608-835-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "PHILIP",
        "middle_name": "JAMES KASS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "5701",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "51861",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "66822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952797631",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmiles314780@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pmiles314780@direct-ehr-ssmhc.com",
            "address_1": "833 S Iowa St Ste 102",
            "city": "Dodgeville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535331900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "833 S Iowa St Ste 102",
            "city": "Dodgeville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535331900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

Verify at the official NPI Registry.