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DR. MARIANO B MIKULIC MD NPI 1639172836


NPI Information

NPI: 1639172836
Provider Name: DR. MARIANO B MIKULIC, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: ST VINCENT'S AMBULATORY CARE INC

PECOS Registration: Yes

Address:
1824 KING STREET
SUITE 300
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 388-1820
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DR. Mariano B Mikulic, MD is a cardiovascular disease internal medicine in Jacksonville, FL with 38 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Mariano B Mikulic, MD NPI is 1639172836. 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:

1824 KING STREET
SUITE 300
JACKSONVILLE, FL
ZIP 32204-736
Phone: (904) 388-1820
Fax: (904) 388-1827

The NPI 1639172836 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report (HCPCS:93018)
  • Catheter insertion of stents in major coronary artery or branch, accessed through the skin (HCPCS:92928)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 5/28/2014.


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
1207RC0000XInternal MedicineCardiovascular Disease046312GEORGIANo
2207RC0000XInternal MedicineCardiovascular DiseaseME73598FLORIDAYes

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
142895OTHERFLORIDABCBS
242895ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
306BDGPPMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
4245320OTHERFLORIDAAVMED
5F66630MEDICARE UPINFLORIDA
6254507100MEDICAIDFLORIDA
700793581AMEDICAIDGEORGIA
82049932OTHERFLORIDAAETNA
9365273OTHERGEORGIABCBS
10060047984MEDICARE ID-TYPE UNSPECIFIEDFLORIDARAILROAD MCARE
1100793581DMEDICAIDGEORGIA

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: 11/14/2023

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.