Active NPI
Radha Mikkilineni, M.D.
- Dermatopathology Physician
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 261852
- Practice address
- 54 New Hyde Park Rd
Garden City, NY 11530-3909 - Phone
- (516) 488-1313
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 261852 | NY | Primary |
Addresses
Primary practice location
54 New Hyde Park Rd
Garden City, NY 11530-3909
Mailing address
911 Park Ave
Apt 1a
New York, NY 10075-0385
Phone (202) 723-2432
Other practice location 1
34 Bay St Ste 201
Sag Harbor, NY 11963-3104
Phone (631) 919-5087
Other practice location 2
1120 19th St NW
Suite 250
Washington, DC 20036-3605
Phone (202) 306-2472
Other practice location 3
700 Park Ave
New York, NY 10021-0104
Phone (212) 517-6555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Georgetown University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774
156 E 79TH St
Apt 1a
New York, NY 10075-0570
Phone (212) 879-6614
2500 Nesconset Hwy
BLDG 20B
Stony Brook, NY 11790-2563
Phone (516) 822-7546
358 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone (516) 822-7546
54 New Hyde Park Rd
Garden City, NY 11530-3909
Phone (516) 488-1313
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 89.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.92 of 100
- Quality
- 68.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.61
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.82 of 100
- Quality
- 87.63
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 94 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261852 | NY | MD | Dermatopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Current | Accepting new patients | |
| Mitchell a. Kline MD PC | Dermatopathology | Current | Accepting new patients |
| Belaray Dermatology PC | Current | Accepting new patients | |
| Comprehensive Dermatology, P.C. | Current | Accepting new patients | |
| Robert L Bruckstein MD PC | Current | Accepting new patients | |
| Scheiner Dermatology PLLC | Current | Accepting new patients | |
| RM Dermatology, PLLC | Dermatopathology | Current | Accepting new patients |
| Middletown Medical PC | Current | Accepting new patients | |
| Rachel Shireen Golpanian MD P.C. | Past | Accepting new patients | |
| Sadick Aesthetic Surgery and Dermatology | Past | Accepting new patients |
Locations
358 S Oyster Bay Rd
Hicksville, NY 11801
Phone (516) 488-7546
111 Maltese Dr
Middletown, NY 10940
34 Bay St
Sag Harbor, NY 11963
Phone (212) 517-6555
34 Bay St
Ste 201
Sag Harbor, NY 11963
Phone (631) 919-5087
1122 Broadway
Woodmere, NY 11598
Phone (516) 295-3838
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- ram9090@direct.nyp.org
- https://fhir4.healow.com/fhir/r4/BEHDAD/Endpoint/BEHDAD
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dermatology Physician
- Hicksville, NY
- NPI 1225237886
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
-
- Dermatology Physician
- New York, NY
- NPI 1639692205
-
- Dermatology Physician
- Garden City, NY
- NPI 1598820698
-
- Specialist
- Woodmere, NY
- NPI 1659417038
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
-
- Dermatology Physician
- Lawrence, NY
- NPI 1194002733
-
- Procedural Dermatology Physician
- New York, NY
- NPI 1821927104
-
- Dermatology Physician
- New York, NY
- NPI 1699920116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1003842618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 PARK AVE",
"address_2": "APT 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750385",
"telephone_number": "202-723-2432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 NEW HYDE PARK RD",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115303909",
"telephone_number": "516-488-1313"
}
],
"practiceLocations": [
{
"address_1": "34 Bay St Ste 201",
"address_purpose": "LOCATION",
"city": "Sag Harbor",
"state": "NY",
"postal_code": "119633104",
"country_code": "US",
"telephone_number": "631-919-5087",
"fax_number": "631-899-3478",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 19th St NW",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200363605",
"country_code": "US",
"telephone_number": "202-306-2472",
"fax_number": "202-723-2432",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Park Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100210104",
"country_code": "US",
"telephone_number": "212-517-6555",
"fax_number": "212-472-6796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKKILINENI",
"first_name": "RADHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NY",
"license": "261852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.