Active NPI
Edward Mikula, PA-C
- Medical Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C05207
- Practice address
- 301 St. Paul Place
Heart Center at Mercy
Baltimore, MD 21202 - Phone
- (410) 332-9752
- NPI assigned
- Sep 30, 2013
- Last updated
- Sep 30, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C05207 | MD | Primary |
Addresses
Primary practice location
301 St. Paul Place
Heart Center at Mercy
Baltimore, MD 21202
Mailing address
301 St. Paul Place
Medical Staff Office
Baltimore, MD 21202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Saint Paul St
Baltimore, MD 21202-2102
7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.13 of 100
- Quality
- 56.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Paul Place Specialists, Inc. | Current | Accepting new patients | |
| St Paul Place Specialists Inc | Current | Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Past | Accepting new patients |
Locations
11121 York Rd
Hunt Valley, MD 21030
Phone (410) 628-0026
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
114 Business Center Dr
Reisterstown, MD 21136
Phone (410) 661-3338
Interoperability endpoints
- emikula32432@direct.mdmercy.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1497707681
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- NPI 1780630004
-
- Physical Therapist
- Baltimore, MD
- NPI 1346292422
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1639506165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ST. PAUL PLACE",
"address_2": "MEDICAL STAFF OFFICE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 ST. PAUL PLACE",
"address_2": "HEART CENTER AT MERCY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202",
"telephone_number": "410-332-9752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKULA",
"first_name": "EDWARD",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C05207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.