Individual provider Active NPI

Brandon Michael Mikolich, M.D.

  • Cardiovascular Disease Physician
  • Hermitage, PA
National Provider Identifier
1215102421
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MT180665 Issued in PA
Practice address
2999 Presidential Blvd
Hermitage, PA 16148-3689
Phone
(724) 983-1800
Fax
(724) 983-8252
NPI assigned
Apr 29, 2008
Last updated
Sep 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MT180665 PA Primary

Addresses

Primary practice location

2999 Presidential Blvd
Hermitage, PA 16148-3689

Mailing address

2999 Presidential Blvd
Hermitage, PA 16148-3689
Phone (724) 983-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090916000675 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698821635 Reassigns benefits to 4 organizations
I20110621000305 OH Practitioner - Cardiovascular Disease (Cardiology) 5698821635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians
Meadville Physician ServicesGroup PAC ID 9638078504, 26 clinicians

Practice addresses (Care Compare)

1034 Grove St
Meadville, PA 16335-2945

2999 Innovation Way
Hermitage, PA 16148-7903
Phone (724) 983-1800

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5155

765 Liberty St
Suite 105
Meadville, PA 16335-2567
Phone (814) 373-2310

880 W Liberty St
Hubbard, OH 44425-1753
Phone (330) 269-1916

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT180665PAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital CurrentSince Jun 2, 2025 Accepting new patients
Meadville Medical Center Cardiovascular Disease CurrentSince Dec 11, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince May 1, 2017 Accepting new patients
Titusville Area Hospital Cardiovascular Disease Current Accepting new patients
Titusville Area Hospital CurrentSince Jun 2, 2025 Accepting new patients
Meadville Physician Services Cardiovascular Disease CurrentSince Dec 5, 2024 Accepting new patients
Meadville Medical Center CurrentSince Dec 11, 2024 Accepting new patients
Steward Medical Group Inc. Cardiovascular Disease CurrentSince May 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Meadville Medical Center Past Accepting new patients
Primary Care Services Past Accepting new patients

Locations

55 Hall Ave
Hubbard, OH 44425
Phone (330) 534-1978

880 W Liberty St
Hubbard, OH 44425
Phone (330) 269-1916

880 W Liberty St
Ste A
Hubbard, OH 44425
Phone (330) 534-5400

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

2999 Innovation Way
Sharon, PA 16148
Phone (724) 983-1800

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

951 Male Rd
Wind Gap, PA 18091
Phone (610) 654-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1215102421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 PRESIDENTIAL BLVD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483689",
            "telephone_number": "724-983-1800",
            "fax_number": "724-983-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 PRESIDENTIAL BLVD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483689",
            "telephone_number": "724-983-1800",
            "fax_number": "724-983-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLICH",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MT180665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.