Individual provider Active NPI

Adam Mark Mikulski, D.O.

  • Family Medicine Physician
  • Trevose, PA
National Provider Identifier
1437129574
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS010539L Issued in PA
Practice address
1404 Brownsville Rd
Trevose, PA 19053-4668
Phone
(215) 364-1500
Fax
(215) 364-5140
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS010539L PA Primary

Addresses

Primary practice location

1404 Brownsville Rd
Trevose, PA 19053-4668

Mailing address

1404 Brownsville Rd
Trevose, PA 19053-4668
Phone (215) 364-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050120000072 PA Practitioner - Family Practice 8820047590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aria Health Physician ServicesGroup PAC ID 3577467018, 456 clinicians

Practice addresses (Care Compare)

1404 Brownsville Rd
Trevose, PA 19053-4668
Phone (215) 364-1500

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Health Physician Services Family Medicine Current Accepting new patients
Aria Health Physician Services Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Aria Health Physician Services CurrentSince Oct 1, 2017 Accepting new patients
Aria Health Physician Services Past Accepting new patients

Locations

240 Middletown Blvd
Ste 101C
Langhorne, PA 19047
Phone (215) 550-9999

9821 Academy Rd
Philadelphia, PA 19114
Phone (215) 632-8700

5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355

1404 Brownsville Rd
Trevose, PA 19053
Phone (215) 364-1500

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 7

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1437129574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BROWNSVILLE RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534668",
            "telephone_number": "215-364-1500",
            "fax_number": "215-364-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BROWNSVILLE RD",
            "city": "TREVOSE",
            "state": "PA",
            "postal_code": "190534668",
            "telephone_number": "215-364-1500",
            "fax_number": "215-364-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKULSKI",
        "first_name": "ADAM",
        "middle_name": "MARK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010539L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trevose, PA

Sources for this page

Verify at the official NPI Registry.