Individual provider Active NPI

Joseph L Mikus, MD

  • Otolaryngology Physician
  • Winchester, VA
National Provider Identifier
1740241959
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101052335 Issued in VA
Practice address
142 Linden Drive
Suite 106
Winchester, VA 22601
Phone
(540) 722-7282
Fax
(540) 722-5060
NPI assigned
Mar 29, 2006
Last updated
Feb 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101052335 VA Primary

Addresses

Primary practice location

142 Linden Drive
Suite 106
Winchester, VA 22601

Mailing address

142 Linden Drive
Suite 106
Winchester, VA 22601
Phone (540) 722-7282

Other identifiers 1

IdentifierTypeStateIssuer
010148979MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20031117000557 VA Practitioner - Otolaryngology 5294649034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Pennsylvania State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shenandoah Head and Neck Specialists, PLCGroup PAC ID 7416908546, 4 clinicians

Practice addresses (Care Compare)

142 Linden Dr
Winchester, VA 22601-6901
Phone (540) 722-7282

920 N Shenandoah Ave
Suite 202
Front Royal, VA 22630-3568
Phone (540) 749-2349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101052335VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia University Medical Corporation CurrentSince Sep 1, 2025 Accepting new patients
West Virginia University Medical Corporation Otolaryngology CurrentSince Sep 1, 2025 Accepting new patients

Locations

920 N Shenandoah Ave
Ste 202
Front Royal, VA 22630
Phone (540) 535-0000

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Organizations & group practices 3

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 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1740241959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 LINDEN DRIVE",
            "address_2": "SUITE 106",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-722-7282",
            "fax_number": "540-722-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 LINDEN DRIVE",
            "address_2": "SUITE 106",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-722-7282",
            "fax_number": "540-722-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKUS",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101052335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010148979",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.