MILES BICHANICH, MD — NPI 1760914378 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1760914378

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208200000X (CMS 02)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery

Box 32 Service Location & ZIP+4

935 WAYZATA BLVD E STE 200, WAYZATA, MN, 55391-2513

✓ 9-Digit EDI 837 ZIP+4 (55391-2513)

Practice Phone & Referral Fax

(763) 237-5149

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760914378 (MILES BICHANICH, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760914378` (NPI-1 Individual Practitioner)
Provider / Legal Name	MILES BICHANICH, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery NUCC Code: `208200000X` (Plastic Surgery)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	935 WAYZATA BLVD E STE 200, WAYZATA, MN, 55391-2513
Practice Telephone / Fax	Tel: (763) 237-5149
Administrative Mailing Address	935 WAYZATA BLVD E STE 200, WAYZATA, MN, 55391-2513
Enumeration & Last Sync	Enumerated: 2017-04-02 \| CMS Record Updated: 2023-08-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

935 WAYZATA BLVD E STE 200, WAYZATA, MN, 55391-2513

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Plain-English Taxonomy & CMS Crosswalk (208200000X)

What Does Taxonomy Code 208200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208200000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 24 (Physician/Plastic and Reconstructive Surgery)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Plastic Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MILES BICHANICH, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: WI \| License: `71843-20` \| Primary: Secondary
`208200000X` — Plastic Surgery Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery	State: MN \| License: `74281` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MILES BICHANICH, MD (NPI #1760914378)