Individual provider Active NPI

Carter Mikesell, MD

  • Urology Physician
  • La Mesa, CA
National Provider Identifier
1609371327
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A203165 Issued in CA
Practice address
8881 Fletcher Pkwy Ste 250
La Mesa, CA 91942-3191
Phone
(619) 828-1000
Fax
(619) 828-1001
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A203165 CA Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 250
La Mesa, CA 91942-3191

Mailing address

8881 Fletcher Pkwy Ste 250
La Mesa, CA 91942-3191
Phone (619) 828-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 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
I20230727002049 OH Practitioner - Urology 1254684129 Reassigns benefits to 1 organization
I20251030002049 CA Practitioner - Urology 1254684129 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services Medical CorporationGroup PAC ID 6204720196, 8 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians
Scott Logan Brown MD a Professional CorpGroup PAC ID 9638063605, 4 clinicians

Practice addresses (Care Compare)

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

8881 Fletcher Pkwy
Suite 250
La Mesa, CA 91942-3191
Phone (619) 828-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A203165CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services Medical Corporation CurrentSince Jan 1, 2026 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 10, 2025 Accepting new patients
Scott Logan Brown, MD, a Professional Corp Urology CurrentSince Aug 17, 2025 Accepting new patients
Kettering Independent Medical Group Inc CurrentSince Feb 17, 2025 Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

752 Medical Center Ct
Ste 212
Chula Vista, CA 91911
Phone (619) 216-9797

8881 Fletcher Pkwy
Ste 250
La Mesa, CA 91942
Phone (619) 589-6888

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

4000 Miamisburg Centerville Rd
Ste 450
Miamisburg, OH 45342
Phone (937) 439-3600

Interoperability endpoints

  • Direct secure messaging: cmikesell34024@summahealth-direct.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 5

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1609371327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423191",
            "telephone_number": "619-828-1000",
            "fax_number": "619-828-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 250",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423191",
            "telephone_number": "619-828-1000",
            "fax_number": "619-828-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKESELL",
        "first_name": "CARTER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A203165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.