Active NPI
Brian Mikolasko, MD MBA MS
- Internal Medicine Physician
- Johnston, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 16379
- Practice address
- 2109 Hartford Ave
Johnston, RI 02919-3246 - Phone
- (626) 319-5932
- Fax
- (626) 380-2395
- NPI assigned
- Apr 15, 2014
- Last updated
- Aug 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | NU | ||
| Internal Medicine Physician | 207R00000X | 463951 | PA | |
| Internal Medicine Physician | 207R00000X | 149352 | CA | |
| Internal Medicine Physician | 207R00000X | 276683 | MA | |
| Internal Medicine Physician | 207R00000X | 16379 | RI | Primary |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 16379 | RI |
Addresses
Primary practice location
2109 Hartford Ave
Johnston, RI 02919-3246
Mailing address
2109 Hartford Ave
Johnston, RI 02919-3246
Phone (626) 319-5932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD463951 | Other | PA | PENNSYLVANIA STATE BOARD OF MEDICINE |
| A149352 | Other | CA | THE MEDICAL BOARD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, PA, RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1085 N Main St
Providence, RI 02904-5719
Phone (401) 415-4275
2109 Hartford Ave
Johnston, RI 02919-3246
Phone (401) 587-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149352 | CA | MD | Marriage & Family Therapist |
| 276683 | MA | MD | Internal Medicine Physician |
| 463951 | PA | MD | Internal Medicine Physician |
| 16379 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brigham & Womens Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| St Luke's Methodist Hospital | General Acute Care Hospital | Current | Accepting new patients |
| Ava Health LLC | Internal Medicine | Current | Accepting new patients |
| Lucas Medical LLC | Internal Medicine | Current | Accepting new patients |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Hospitalist Group of Montebello Inc | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Fairview Hospital | Hospice and Palliative Medicine | Current | Accepting new patients |
| Physicians of Cape Cod Hospital | Internal Medicine | Current | Accepting new patients |
| Hopehealth Hospice & Palliative Care | Current | Accepting new patients | |
| Bella Health LLC | Internal Medicine | Current | Accepting new patients |
| Hopehealth Hospice & Palliative Care | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients |
Locations
1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916
75 Francis St
Boston, MA 02115
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
375 Boylston St
Brookline, MA 02445
Phone (508) 718-4010
29 Lewis Ave
Gt Barrington, MA 01230
Phone (413) 528-0790
27 Park St
Hyannis, MA 02601
Phone (508) 775-5011
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
2109 Hartford Ave
Johnston, RI 02919
Phone (401) 587-1000
1085 N Main St
Providence, RI 02904
Phone (401) 415-4200
Interoperability endpoints
- bmikolasko916420@direct.unitypoint.org
Organizations & group practices 16
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.
-
- Internal Medicine Physician
- Johnston, RI
- NPI 1134947997
-
- Case Management Agency
- Providence, RI
- NPI 1790851590
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1942474176
-
- Hospitalist Physician
- Corona, CA
- NPI 1578959318
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
Internal Medicine
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Physical Medicine & Rehabilitation Physician
- Johnston, RI
- NPI 1093666711
Internal Medicine
-
- Internal Medicine Physician
- Johnston, RI
- NPI 1720939390
-
dba Williamstown Medical at North Adams
- Rural Health Clinic/Center
- North Adams, MA
- NPI 1639737042
Hospice and Palliative Medicine
-
- General Practice Physician
- Brockton, MA
- NPI 1720405988
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Encompass Health Rehabilitation Hospital of Johnston
- Rehabilitation Hospital
- Johnston, RI
- NPI 1083482475
Inpatient rehabilitation facility
-
dba Kent County Hospital Rehab Unit
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Wakefield, RI
- NPI 1952366106
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
-
- General Acute Care Hospital
- Attleboro, MA
- NPI 1730106162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1346669512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2109 HARTFORD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193246",
"telephone_number": "626-319-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 HARTFORD AVE",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193246",
"telephone_number": "626-319-5932",
"fax_number": "626-380-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKOLASKO",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD MBA MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-15",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "463951",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "149352",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "276683",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "16379",
"primary": true
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "RI",
"license": "16379",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE BOARD OF MEDICINE",
"identifier": "MD463951",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE MEDICAL BOARD OF CALIFORNIA",
"identifier": "A149352",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.