Individual provider Active NPI

Mitchell Christopher Stickler, M.D.

  • MOHS-Micrographic Surgery Physician
  • Lewes, DE
National Provider Identifier
1275597114
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
C1-0003715 Issued in DE
Practice address
750 Kings Highway
Ste 110
Lewes, DE 19958
Phone
(302) 644-6400
Fax
(302) 644-6409
NPI assigned
Apr 17, 2006
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X C10003715 DE
MOHS-Micrographic Surgery Physician 207ND0101X C1-0003715 DE Primary
Procedural Dermatology Physician 207NS0135X C1-0003715 DE

Addresses

Primary practice location

750 Kings Highway
Ste 110
Lewes, DE 19958

Mailing address

750 Kings Highway
Ste 110
Lewes, DE 19958
Phone (302) 644-6400

Other identifiers 1

IdentifierTypeStateIssuer
0000431701MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100928001392 DE Practitioner - Dermatology 0143327510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Henlopen Dermatology PAGroup PAC ID 5799882163, 3 clinicians

Practice addresses (Care Compare)

750 Kings Hwy
Suite 110
Lewes, DE 19958-1772
Phone (302) 644-6400

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision217
Removal of skin lesions4762
Removal of skin cancer429
Removal of nail tissue1-10
Removal or shaving of skin growth70
Skin biopsy1325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10003715DEMDDermatology Physician
C1-0003715DEMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Henlopen Dermatology, P.a. Dermatology CurrentSince Jan 1, 1997 Accepting new patients

Locations

750 Kings Hwy
Ste 110
Lewes, DE 19958
Phone (302) 644-6400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1275597114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KINGS HIGHWAY",
            "address_2": "STE 110",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-644-6400",
            "fax_number": "302-644-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KINGS HIGHWAY",
            "address_2": "STE 110",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "19958",
            "telephone_number": "302-644-6400",
            "fax_number": "302-644-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLER",
        "first_name": "MITCHELL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DE",
            "license": "C10003715",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "DE",
            "license": "C1-0003715",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "DE",
            "license": "C1-0003715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000431701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.