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KEVIN P MIKUS MD NPI 1023097938


NPI Information

NPI: 1023097938
Provider Name: KEVIN P MIKUS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4525 CAMERON VALLEY PKWY STE 3100
CHARLOTTE, NC
ZIP 28211
Phone: (704) 302-8375
Get Directions

Kevin P Mikus, MD is a family medicine in Charlotte, NC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kevin P Mikus, MD NPI is 1023097938. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4525 CAMERON VALLEY PKWY STE 3100
CHARLOTTE, NC
ZIP 28211-377
Phone: (704) 302-8375
Fax: (704) 302-9071

The NPI 1023097938 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 11/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1173000000XLegal Medicine27952NORTH CAROLINANo
2207Q00000XFamily Medicine27952NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1208856CMEDICARE PINNORTH CAROLINA
2CN8132OTHERNORTH CAROLINAMEDICARE RAILROAD
3C85540MEDICARE UPIN
48958796MEDICAIDNORTH CAROLINA
5208856DMEDICARE PINNORTH CAROLINA
6208856BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.