Individual provider Active NPI

Brett Miles, M.D., DDS

  • Otolaryngology Physician
  • New York, NY
National Provider Identifier
1972712842
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
256745-1 Issued in NY
Practice address
130 East 77TH St
Black Hall, 10TH Floor
New York, NY 10075
Phone
(212) 434-4500
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 19693 TX
Otolaryngology Physician 207Y00000X 256745-1 NY Primary

Addresses

Primary practice location

130 East 77TH St
Black Hall, 10TH Floor
New York, NY 10075

Mailing address

130 East 77TH Street
Black Hall, 10TH Floor
New York, NY 10075
Phone (212) 434-4500

Other identifiers 1

IdentifierTypeStateIssuer
176986101MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000417 NY Practitioner - OtolaryngologyPractitioner - Maxillofacial Surgery 4385720572 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Maxillofacial Surgery
Education
University of Texas Southwestern Medical School at Dallas, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lenox Hill Hospital Medical PCGroup PAC ID 7012188568, 32 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-4500

130 E 77TH St
New York, NY 10075-1851
Phone (212) 434-4500

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256745-1NYMDOtolaryngology Physician
19693TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology CurrentSince Jan 1, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 1, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Lenox Hill Hospital Medical, PC Otolaryngology CurrentSince Mar 31, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Otolaryngology CurrentSince May 1, 2013 Accepting new patients
North Shore-Lij Medical PC Otolaryngology CurrentSince Apr 21, 2021 Accepting new patients
Lenox Hill Hospital Past Accepting new patients
Campion Emergency Physicians PLLC Past Accepting new patients
Bachman Lake Emergency Physicians PLLC Past Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

3016 30th Ave
Astoria, NY 11102
Phone (718) 204-7832

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

5 E 98th St
#1191
New York, NY 10029
Phone (212) 241-8436

130 E 77th St
Fl 10
New York, NY 10075
Phone (212) 434-4556

130 E 77th St
New York, NY 10075
Phone (212) 434-2606

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

130 E 77th St
#10
New York, NY 10075

5 E 98th St
Fl 8
New York, NY 10029
Phone (212) 241-4410

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: bmiles67619@northwell.direct-ci.com

Organizations & group practices 12

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 3

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1972712842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EAST 77TH STREET",
            "address_2": "BLACK HALL, 10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-434-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EAST 77TH ST",
            "address_2": "BLACK HALL, 10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10075",
            "telephone_number": "212-434-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "M.D., DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19693",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "256745-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176986101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.