Individual provider Active NPI

Abraham Mikalov, M.D.

  • General Practice Physician
  • Columbus, OH
National Provider Identifier
1841351061
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35057674 Issued in OH
Practice address
6100 E Main St Ste 101
Columbus, OH 43213-3399
Phone
(614) 367-1234
Fax
(614) 367-1233
NPI assigned
Dec 12, 2006
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35057674 OH
General Practice Physician 208D00000X 35057674 OH Primary

Addresses

Primary practice location

6100 E Main St Ste 101
Columbus, OH 43213-3399

Mailing address

PO Box 9664
Bexley, OH 43209-0664
Phone (614) 367-1234

Other identifiers 2

IdentifierTypeStateIssuer
0837009MedicaidOH
0232221MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20031231000572 OH Practitioner - General SurgeryPractitioner - Surgical Oncology 2567361249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6100 E Main St
Suite 101
Columbus, OH 43213-3399
Phone (614) 367-1234

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057674OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abraham Mikalov MD Inc Surgery CurrentSince Aug 1, 1998 Accepting new patients
Louis E Vassy MD Inc Surgery Past Accepting new patients

Locations

6100 E Main St
Ste 101
Columbus, OH 43213
Phone (614) 367-1234

Organizations & group practices 2

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 5

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1841351061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9664",
            "city": "BEXLEY",
            "state": "OH",
            "postal_code": "432090664",
            "telephone_number": "614-367-1234",
            "fax_number": "614-367-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 E MAIN ST STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432133399",
            "telephone_number": "614-367-1234",
            "fax_number": "614-367-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKALOV",
        "first_name": "ABRAHAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35057674",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35057674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0837009",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.