Individual provider Active NPI

Schield M Wikas, D.O.

  • Procedural Dermatology Physician
  • Canton, OH
National Provider Identifier
1174544068
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
34003116W Issued in OH
Practice address
4240 Munson St NW Ste C
Canton, OH 44718-2978
Phone
(330) 492-2327
Fax
(330) 492-0953
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 34003116W OH Primary

Addresses

Primary practice location

4240 Munson St NW Ste C
Canton, OH 44718-2978

Mailing address

29111 Cedar Rd
Mayfield Heights, OH 44124-4005

Other identifiers 1

IdentifierTypeStateIssuer
0565919MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040909001460 OH Practitioner - Dermatology 2567438542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Dermatology and Skin Surgery Center, LLCGroup PAC ID 1052589777, 52 clinicians

Practice addresses (Care Compare)

4124 Munson St NW
Canton, OH 44718-4804
Phone (234) 410-7546

4240 Munson St NW
Suite C
Canton, OH 44718-2978
Phone (330) 492-2327

7580 Auburn Rd
Suite 301
Painesville, OH 44077-9618
Phone (440) 352-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
78.38
Promoting interoperability
92
Improvement activities
40
Cost
79.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions752
Removal or shaving of skin growth407
Skin biopsy59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34003116WOHMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Dermatology and Skin Surgery Center, LLC Procedural Dermatology CurrentSince Aug 9, 2023 Accepting new patients
SCH Professional Corporation PastSince Sep 10, 2023 Accepting new patients
Health Care Center Physicians, Inc. Past Accepting new patients
Gary R Kutsikovich MD and Associates Inc Past Accepting new patients

Locations

4240 Munson St NW
Ste C
Canton, OH 44718
Phone (330) 492-2327

4240 Munson St NW
Canton, OH 44718
Phone (330) 491-1390

7580 Auburn Rd
Ste 301
Concord Township, OH 44077
Phone (440) 352-7546

29111 Cedar Rd
Mayfield Hts, OH 44124
Phone (440) 646-1600

Interoperability endpoints

  • Direct secure messaging: swikas560530@ehrdirect.uhhospitals.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1174544068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29111 CEDAR RD",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244005",
            "fax_number": "330-492-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 MUNSON ST NW STE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182978",
            "telephone_number": "330-492-2327",
            "fax_number": "330-492-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKAS",
        "first_name": "SCHIELD",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "34003116W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0565919",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.