NPIMap

Individual provider Active NPI

Melissa Marie Miles, M.D.

  • Colon & Rectal Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1992091755
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
17221 Issued in NV
Practice address
700 Shadow LN Ste 370
Las Vegas, NV 89106-4159
Phone
(702) 693-6870
Fax
(702) 693-6899
NPI assigned
Jun 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 17221 NV Primary
Surgery Physician 208600000X MT198821 PA

Addresses

Primary practice location

700 Shadow LN Ste 370
Las Vegas, NV 89106-4159

Mailing address

700 Shadow LN Ste 370
Las Vegas, NV 89106-4159
Phone (702) 693-6870

Other practice location 1

1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-7464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711003586 NV Practitioner - General Surgery 2961650080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LV Surgery Associates PLLCGroup PAC ID 2668840174, 25 clinicians

Practice addresses (Care Compare)

8930 W Sunset Rd
Suite 300
Las Vegas, NV 89148-5013
Phone (702) 258-7788

Hospital & facility affiliations

  • Valley Hospital Medical Center Hospital, Las Vegas, NV, CCN 290021
  • Centennial Hills Hospital Medical Center Hospital, Las Vegas, NV, CCN 290054
  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy34
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17221NVMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Cancer Center of Nevada Inc CurrentSince Sep 5, 2017 Accepting new patients
LV Surgery Associates PLLC CurrentSince Apr 20, 2024 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Valley Hospital Medical Center Past Accepting new patients
Talbert Medical Group Past Accepting new patients
Dignity Health Past Accepting new patients
The Valley Hospital Inc. Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations

901 N Green Valley Pkwy
Ste 160
Henderson, NV 89074
Phone (702) 258-7788

700 Shadow Ln
Ste 370
Las Vegas, NV 89106
Phone (702) 382-8222

3131 La Canada St
Ste 241
Las Vegas, NV 89169
Phone (702) 693-6870

8930 W Sunset Rd
Ste 300
Las Vegas, NV 89148
Phone (702) 258-7788

1250 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 383-4001

6850 N Durango Dr
Ste 218
Las Vegas, NV 89149
Phone (702) 202-3431

330 S Lola Ln
Bldg B
Pahrump, NV 89048

Organizations & group practices 11

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 8

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1992091755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN STE 370",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064159",
            "telephone_number": "702-693-6870",
            "fax_number": "702-693-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHADOW LN STE 370",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064159",
            "telephone_number": "702-693-6870",
            "fax_number": "702-693-6899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "PA",
            "postal_code": "190013720",
            "country_code": "US",
            "telephone_number": "215-481-7464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NV",
            "license": "17221",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT198821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.