KAREN MILES M.D.
NPI 1124246970
Psychiatry & Neurology - Child & Adolescent Psychiatry in Raleigh, NC

NPI Status: Active since April 24, 2007

Contact Information

2900 KIDD RD
RALEIGH, NC
ZIP 27610
Phone: (919) 532-7599

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • Accepts Insurance
  • PECOS Enrolled
  • Opted-Out Medicare

About KAREN MILES

This page provides the complete NPI Profile along with additional information for Karen Miles, a provider established in Raleigh, North Carolina with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1124246970 assigned on April 2007. The practitioner's primary taxonomy code is 2084P0804X with license number 2009-00960 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1124246970
Provider Name
KAREN MILES M.D.
Gender
Female
Entity Type
Individual
Location Address
2900 KIDD RD RALEIGH, NC 27610
Location Phone
(919) 532-7599
Mailing Address
820 BROAD ST DURHAM, NC 27705
Mailing Phone
(919) 794-3919
Is Sole Proprietor?
Yes
Enumeration Date
04-24-2007
Last Update Date
12-12-2012
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Karen Miles opted out of Medicare effective on 11-10-2021 until 11-10-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
2009-00960
License State
NC
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

2009-00960 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
  • Blue Home Bronze Standard | with UNC Health Alliance - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance - EPO
  • Blue Home Gold Standard | with UNC Health Alliance - EPO
  • Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance - EPO
  • Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Silver Standard | with UNC Health Alliance - EPO
  • Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 3500 Indiv Med Deductible - HMO
  • Connect Silver 4400 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Karen Miles is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 11-10-2021

  • Opt-Out End Date: 11-10-2025

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for KAREN MILES M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124246970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21444412914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 4 + 4 + 1 + 2 + 9 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1124246970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871926097 NICHOLLE KARIM LCSW
Individual
Social Worker (Clinical)2900 KIDD RD
RALEIGH, NC 27610
(919) 532-7599
1104968965HOPE SERVICES, LLC
Organization
Community/Behavioral Health2900 KIDD RD
RALEIGH, NC 27610
(919) 532-7599
1578969143 PEACHES SMITH BSW, MSW, LCSWA
Individual
Social Worker (Clinical)2900 KIDD RD
RALEIGH, NC 27610
(919) 532-7599
1053807057 JESSICA ANN BEAL
Individual
Counselor (Mental Health)2900 KIDD RD
RALEIGH, NC 27610
(919) 532-7599
1497416820 CHRISTINA ANN DOVEL LCSW-A
Individual
Social Worker (Clinical)2900 KIDD RD
RALEIGH, NC 27610
(919) 714-7500
1932840873 BRITTANY SHEDRICK LCSWA
Individual
Social Worker (Clinical)2900 KIDD RD
RALEIGH, NC 27610
(919) 714-7500
1609567510MRS. JENNIFER LEIGH-ANN OSTERHOUDT MSW
Individual
Social Worker (Clinical)2900 KIDD RD
RALEIGH, NC 27610
(919) 714-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124246970, enumerated in the NPI registry as an "individual" on April 24, 2007

The provider is located at 2900 Kidd Rd Raleigh, Nc 27610 and the phone number is (919) 532-7599

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0804X with a focus in Child & Adolescent Psychiatry

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

No, the provider signed an affidavit on November 10, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until November 10, 2025.

This NPI record was last updated on April 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.