NPIMap

Individual provider Active NPI

Kevin Joseph Mikielski, DO

  • Cardiovascular Disease Physician
  • Erie, PA
National Provider Identifier
1821036195
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS012785 Issued in PA
Practice address
4002 Schaper Avenue
Suite a
Erie, PA 16508
Phone
(814) 866-2311
Fax
(814) 860-8111
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS012785 PA Primary

Addresses

Primary practice location

4002 Schaper Avenue
Suite a
Erie, PA 16508

Mailing address

4002 Schaper Avenue
Suite a
Erie, PA 16508
Phone (814) 866-2311

Other identifiers 1

IdentifierTypeStateIssuer
1016482560001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060731000033 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466465935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osteopathic Cardiology Associates, LLCGroup PAC ID 4183767908, 2 clinicians

Practice addresses (Care Compare)

4002 Schaper Ave
Suite a
Erie, PA 16508-3358
Phone (814) 866-2311

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic X-Ray Service Inc CurrentSince Feb 1, 2025 Accepting new patients
Millcreek Community Hospital CurrentSince Aug 17, 2022 Accepting new patients
Diagnostic X-Ray Service, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Osteopathic Cardiology Associates, LLC Cardiovascular Disease CurrentSince Jan 1, 2010 Accepting new patients
Osteopathic Cardiology Associates Current Accepting new patients
Rochester Mobile X-Ray Inc CurrentSince Feb 1, 2025 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital CurrentSince Aug 17, 2022 Accepting new patients

Locations

4002 Schaper Ave
Ste A
Erie, PA 16508
Phone (814) 866-2311

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kevin.mikielski.p1@direct.osteopathcardiology.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1821036195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 SCHAPER AVENUE",
            "address_2": "SUITE A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16508",
            "telephone_number": "814-866-2311",
            "fax_number": "814-860-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 SCHAPER AVENUE",
            "address_2": "SUITE A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16508",
            "telephone_number": "814-866-2311",
            "fax_number": "814-860-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKIELSKI",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS012785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016482560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.