Michael Brian Mikolaj, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

54156 Issued in TN

Practice address

2205 McCallie Ave
Chattanooga, TN 37404-3230

Phone

(423) 508-6733

Fax

(423) 508-6744

NPI assigned

May 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Ohio State University College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centennial Heart LLCGroup PAC ID 9931204237, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
• Erlanger Bledsoe Hospital Hospital, Pikeville, TN, CCN 441306
• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091
• Blue Ridge Medical Center Hospital, Blue Ridge, GA, CCN 111338
• Erlanger Murphy Medical Center Hospital, Murphy, NC, CCN 341328

Merit-based Incentive Payment System (MIPS)

Final score

88.55 of 100Reported as individual

Quality

84.62

Improvement activities

40

Cost

76.68

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.mikolaj@hca1.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centennial Heart LLC

  • Specialist
  • Nashville, TN
  • NPI 1245393057

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Parkridge Medical Center, Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1104874684
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Erlanger Health

  • Critical Access Hospital
  • Pikeville, TN
  • NPI 1336841568
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633
  Care Compare affiliation
• Memorial Health Care System Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  Care Compare affiliation
• Parkridge Medical Center, Inc.

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1104874684
  Care Compare affiliation
• Blue Ridge Georgia Hospital Company LLC

  • Critical Access Hospital
  • Blue Ridge, GA
  • NPI 1851362263
  Care Compare affiliation
• Murphy Medical Center Inc

  • Critical Access Hospital
  • Murphy, NC
  • NPI 1801831102
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1760616601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043230",
            "telephone_number": "423-508-6733",
            "fax_number": "423-508-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 MCCALLIE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043230",
            "telephone_number": "423-508-6733",
            "fax_number": "423-508-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKOLAJ",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2022-01-26",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TN",
            "license": "54156",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "54156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MICHAEL.MIKOLAJ@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2205 McCallie Ave",
            "city": "Chattanooga",
            "state": "TN",
            "country_code": "US",
            "postal_code": "374043230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cody Dale Middleton, DC
• Shondra Jelon Middleton, LPN
• Midtown Healthcare, LLC
• Sheila Mikel
• Mark Mikhail, MD
• Dorian C Milam, RN
• Elizabeth Milan
• Aston Blair Miles, P.T.
• Milestone Medical Management LLC
• Joseph Britton Milholm, DMD

• Cardiovascular Disease Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.

Verify at the official NPI Registry.