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MILES CHARLES
NPI 1154162840
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since June 05, 2024PECOS Enrolled
1402 S GRAND BLVD RM M260, SAINT LOUIS, MO 63104(314) 977-9851 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2026, Jun 5, 2024 (2 updates tracked since 2024).

About Miles Charles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILES CHARLES (NPI 1154162840) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154162840
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMILES CHARLES
Location Address1402 S GRAND BLVD RM M260Saint Louis, MO 63104-1004
Mailing Address1054 S Kingshighway Blvd Apt NSaint Louis, MO 63110-1562 · (972) 984-9589
Phone(314) 977-9851
Sole ProprietorNo
Enumeration DateJune 5, 2024
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1154162840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1402 S GRAND BLVD RM M260, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miles Charles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOURI ESMAEIL KHANIAN MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2408
STEPHEN CHRISTOPHER REAM
Pediatrics (Pediatric Cardiology)
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359
ROXANNA HAMIDPOUR MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (913) 486-1596
STEPHEN COLE NAPIER DO
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359
THOMAS YU XIA
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
DR. NICOLAS KATKHORDEH MAYNARD MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359
DR. PETER KEYVAN FIROUZBAKHT M.D.
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5317
DR. AHMAD BASIL NASIR MD
Hospitalist
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miles Charles's NPI number?

The NPI number for Miles Charles is 1154162840. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Miles Charles located?

Miles Charles practices at 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104. The listed phone number is (314) 977-9851.

What is Miles Charles's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Miles Charles enrolled in Medicare?

Yes. Miles Charles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miles Charles was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.