NPIMap

Individual provider Active NPI

Michael R Mikolajczak, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wellington, FL
National Provider Identifier
1750363230
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
OS5531 Issued in FL
Practice address
10115 Forest Hill Blvd Ste 102
Wellington, FL 33414-6178
Phone
(561) 670-2010
Fax
(561) 670-2319
NPI assigned
Nov 18, 2005
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS5531 FL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X OS5531 FL Primary

Addresses

Primary practice location

10115 Forest Hill Blvd Ste 102
Wellington, FL 33414-6178

Mailing address

10115 Forest Hill Blvd Ste 102
Wellington, FL 33414-6178
Phone (561) 670-2010

Other identifiers 1

IdentifierTypeStateIssuer
255341400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000698 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 6406066117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellington Orthopedic Institute, LLCGroup PAC ID 7214386754, 2 clinicians

Practice addresses (Care Compare)

10115 Forest Hill Blvd
Wellington, FL 33414-6178

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.77 of 100Reported as individual
Quality
48.85
Promoting interoperability
73
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS5531FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellington Orthopedic Institute, LLC Orthopaedic Surgery CurrentSince Oct 26, 2023 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Advanced Orthopaedics Inc Orthopaedic Surgery Past Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Orthopaedic Surgery Past Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Orthopaedic Surgery Past Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Orthopaedic Surgery Past Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Orthopaedic Surgery Past Accepting new patients
Center for Bone and Joint Surgery of the Palm Beaches, P.a. Orthopaedic Surgery Past Accepting new patients

Locations

10115 Forest Hill Blvd
Ste 102
Wellington, FL 33414
Phone (561) 967-0101

Interoperability endpoints

  • Direct secure messaging: michael.mikolajczak.1@30168.direct.athenahealth.com

Organizations & group practices 8

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 2

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1750363230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD STE 102",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146178",
            "telephone_number": "561-670-2010",
            "fax_number": "561-670-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10115 FOREST HILL BLVD STE 102",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146178",
            "telephone_number": "561-670-2010",
            "fax_number": "561-670-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLAJCZAK",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS5531",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "OS5531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255341400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.