Active NPI
Oswald Lightsey Mikell, M.D.
- MOHS-Micrographic Surgery Physician
- Hilton Head Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 11219
- 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, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112194 | Medicaid | SC |
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
Enrollment records 1
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
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 100
- Quality
- 51.53
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 51.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 337 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1525 |
| Removal of skin cancer | 86 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 14 |
| Skin biopsy | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Dermatology PC | Dermatology | Current | Accepting new patients |
| Heritage Dermatology PC | Dermatology | Current | Accepting new patients |
| Coastal Dermatology | Dermatology | Current | Accepting new patients |
| Heritage Dermatology PC | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Hilton Head Island, SC
- NPI 1306875950
-
- Dermatology Physician
- Bluffton, SC
- NPI 1427087089
-
- Dermatology Physician
- Beaufort, SC
- NPI 1982630125
-
- Dermatology Physician
- Savannah, GA
- NPI 1730393455
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.