Kevin P Mikus, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27952 Issued in NC

Practice address

4525 Cameron Valley Pkwy Ste 3100
Charlotte, NC 28211-4377

Phone

(704) 302-8375

Fax

(704) 302-9071

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Carolinas Physicians Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544
  NPD (past)
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1649201146
  NPD (past)
• Crown Health Care

  • Clinic/Center
  • Conover, NC
  • NPI 1700965464
  NPD (past)
• Crown Health Care PA

  • Clinic/Center
  • Hickory, NC
  • NPI 1962584177
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1023097938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601952",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601952",
            "telephone_number": "704-302-8375",
            "fax_number": "704-302-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 CAMERON VALLEY PKWY STE 3100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114377",
            "telephone_number": "704-302-8375",
            "fax_number": "704-302-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUS",
        "first_name": "KEVIN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "27952",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "27952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN8132",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958796",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlin Ann Mikolich, DR.
• Kaleigh Elise Mikolichek, PHARMD
• Jacob Mikoliczyk
• Melissa Miksits, DPT
• Meaghan S Mikulas, MS, RDN, LDN, CLC
• Daniel Edward Milam, CADC
• Robert Alden Milam IV, MD
• Ronald Walden Milam Jr., M.D.
• Gabrielle Milando, LCMHCA
• Zvonimir Luka Milas, MD

• Family Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.