SAMUEL I MILES MD A PROFESSIONAL CORPORATION
NPI 1790977429
Psychiatry & Neurology - Psychiatry in Los Angeles, CA
About Samuel I Miles Md A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL I MILES MD A PROFESSIONAL CORPORATION (NPI 1790977429) is a healthcare organization registered as a psychiatry in Los Angeles, California and active in the NPI registry since August 2007. The organization lists Samuel I Miles, Pres, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel I Miles Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Samuel I Miles MD A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Samuel I Miles MD A Professional Corporation's NPI number?
The NPI number for Samuel I Miles MD A Professional Corporation is 1790977429. It was assigned to this organization in the NPPES registry on August 16, 2007.
Where is Samuel I Miles MD A Professional Corporation located?
Samuel I Miles MD A Professional Corporation is located at 12381 Wilshire Blvd Ste 200, Los Angeles, CA 90025. The listed phone number is (310) 659-1674.
What is Samuel I Miles MD A Professional Corporation's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Samuel I Miles MD A Professional Corporation enrolled in Medicare?
Yes. Samuel I Miles MD A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Samuel I Miles MD A Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Samuel I Miles MD A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Samuel I Miles MD A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Samuel I Miles MD A Professional Corporation was last updated on December 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Samuel I Miles Md A Professional Corporation · NPI 1790977429
Psychiatry organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since August 16, 2007.
## Identity
- **NPI:** 1790977429 (Entity type: Organization)
- **Enumerated:** August 16, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Samuel Miles, PRES
## Practice location
- **Address:** 12381 WILSHIRE BLVD STE 200, Los Angeles, CA 90025-1063
- **Phone:** (310) 659-1674 · **Fax:** (888) 451-2967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1790977429) · Data from the CMS NPPES public registry.