Kevin Michael Miller, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E4801 Issued in CA

Practice address

2500 Hilborn Rd
Fairfield, CA 94534-1097

Phone

(707) 646-5599

Fax

(707) 624-7301

NPI assigned

Aug 25, 2008

Last updated

Dec 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Podiatry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians

Northbay Health Medical FoundationGroup PAC ID 3274010871, 207 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healthflex Home Health Services Home health agency, Oakland, CA, CCN 059551
• Prohealth Home Care, Inc Home health agency, Sacramento, CA, CCN 059764
• Aura Home Health, LLC Home health agency, Antioch, CA, CCN 757121
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367
• Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/UMZ-Uxn6V9x08sH5gCnG-5yPg9ZX7et6/
• Direct secure messaging: kevin.miller@1295.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northbay Health Medical Foundation

  dba NorthBay Health Medical Network

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1760283527
  Medicare reassignment Care Compare group NPD
• Northbay Healthcare Group

  dba dba NorthBay Medical Center

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Medicare reassignment Care Compare group NPD
• Alameda Health System

  • Surgery Physician
  • Oakland, CA
  • NPI 1740332931
  Medicare reassignment NPD
• Northbay Physicians Surgery Center LLC

  dba The Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vacaville, CA
  • NPI 1003015843
  Medicare reassignment NPD
• Alameda Health System

  dba Newark Health Center

  • Federally Qualified Health Center (FQHC)
  • Newark, CA
  • NPI 1497956288
  NPD
• Alameda Health System

  • Federally Qualified Health Center (FQHC)
  • San Leandro, CA
  • NPI 1558749440
  NPD
• Northbay Healthcare Group

  dba NorthBay VacaValley Hospital

  • Multi-Specialty Clinic/Center
  • Vacaville, CA
  • NPI 1760534713
  NPD
• Northbay Healthcare Group

  dba NorthBay Health Urgent Care

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Fairfield, CA
  • NPI 1780736736
  NPD
• Dr. Sean Dougherty, DPM, Inc.

  • Podiatric Clinic/Center
  • Fairfield, CA
  • NPI 1518573310
  NPD (past)
• Northbay Podiatric Medical GRP Inc

  • Podiatrist
  • San Francisco, CA
  • NPI 1790887974

  Foot & Ankle Surgery

  NPD (past)
• St. Joseph Health Northern California, LLC

  dba Providence Queen of the Valley Medical Center

  • Rehabilitation Hospital Unit
  • Napa, CA
  • NPI 1609947282
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aura Home Health LLC

  • Home Health Agency
  • Brentwood, CA
  • NPI 1073287231
  Care Compare affiliation
• Healthflex Home Health Services

  • Home Health Agency
  • Oakland, CA
  • NPI 1326399296
  Care Compare affiliation
• Northbay Healthcare Group

  dba dba NorthBay Medical Center

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation
• Prohealth Home Care, Inc

  • Home Health Agency
  • Sacramento, CA
  • NPI 1215375175
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  dba Providence Queen of the Valley Medical Center

  • General Acute Care Hospital
  • Napa, CA
  • NPI 1013080084
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  dba Providence Queen of the Valley Medical Center

  • General Acute Care Hospital
  • Napa, CA
  • NPI 1235218785
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1982851549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 B GALE WILSON BLVD",
            "address_2": "SUITE 101C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333700",
            "telephone_number": "707-646-4644",
            "fax_number": "707-646-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HILBORN RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341097",
            "telephone_number": "707-646-5599",
            "fax_number": "707-624-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Nut Tree Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956874173",
            "country_code": "US",
            "telephone_number": "707-624-7300",
            "fax_number": "707-624-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Miller
• Faith Miller
• Jhackeline Miller, RN, PHN
• Julie Ann Miller, PHYSICAL THERAPIST
• Kari Miller, ASW
• Kyle Miller, DPT
• Larry Joe Miller
• Millicent LLC (millicent room and board)
• Jody Mills
• Veronica Millsap

• Foot & Ankle Surgery Podiatrist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.

Verify at the official NPI Registry.