Individual provider Active NPI

Oswald Lightsey Mikell, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hilton Head Island, SC
National Provider Identifier
1669414819
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
11219 Issued in SC
Practice address
3901 Main Ste D
Hilton Head Island, SC 29926
Phone
(843) 689-5259
Fax
(843) 689-3797
NPI assigned
Jun 12, 2006
Last updated
Aug 17, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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 11219 SC
MOHS-Micrographic Surgery Physician 207ND0101X 11219 SC Primary
Procedural Dermatology Physician 207NS0135X 11219 SC

Addresses

Primary practice location

3901 Main Ste D
Hilton Head Island, SC 29926

Mailing address

P.O. Box 3821
Bluffton, SC 29910-3821
Phone (843) 705-0840

Other identifiers 1

IdentifierTypeStateIssuer
112194MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20120312000003 SC Practitioner - Dermatology 1658264981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Dermatology PCGroup PAC ID 8628961943, 5 clinicians

Practice addresses (Care Compare)

242 Ladys Island Dr
Beaufort, SC 29907-1728
Phone (843) 525-9277

3901 Main St
Suite D
Hilton Head, SC 29926-4613
Phone (843) 689-5259

40 Okatie Ctr Blvd S
Suite 210
Bluffton, SC 29909-7511
Phone (843) 689-5259

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.95 of 100Reported as group
Quality
51.53
Promoting interoperability
88
Improvement activities
40
Cost
51.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision337
Removal of tissue1-10
Removal of skin lesions1525
Removal of skin cancer86
Removal of nail tissue1-10
Removal or shaving of skin growth14
Skin biopsy117

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Dermatology PC Dermatology Current Accepting new patients
Heritage Dermatology PC Dermatology CurrentSince Aug 1, 1991 Accepting new patients
Coastal Dermatology Dermatology Current Accepting new patients
Heritage Dermatology PC Dermatology CurrentSince Aug 1, 1991 Accepting new patients

Locations

242 Ladys Island Dr
Beaufort, SC 29907
Phone (843) 352-6363

3901 Main St
Ste D
Hilton Head Island, SC 29926
Phone (843) 242-7223

40 Okatie Center Blvd S
Ste 210
Okatie, SC 29909
Phone (843) 705-0840

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14167/brand/11/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1669414819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3821",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299103821",
            "telephone_number": "843-705-0840",
            "fax_number": "843-705-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MAIN STE D",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "29926",
            "telephone_number": "843-689-5259",
            "fax_number": "843-689-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELL",
        "first_name": "OSWALD",
        "middle_name": "LIGHTSEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "11219",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "11219",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "SC",
            "license": "11219",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112194",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.