Active NPI
Lakimerly Michelle Coates, MD
- Dermatology Physician
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 36829
- Practice address
- 165 Scott Ave Ste 100
Morgantown, WV 26508-8847 - Phone
- (715) 531-5650
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 036102903 | IL | |
| Dermatopathology Physician | 207ND0900X | 2026-02304 | NC | |
| Procedural Dermatology Physician | 207NS0135X | 036102903 | IL | |
| Dermatology Physician | 207N00000X | 36829 | WV | Primary |
| Dermatology Physician | 207N00000X | C199443 | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 036102903 | IL | |
| Dermatology Physician | 207N00000X | 036102903 | IL |
Addresses
Primary practice location
165 Scott Ave Ste 100
Morgantown, WV 26508-8847
Mailing address
PO Box 746768
Atlanta, GA 30374-6768
Other practice location 1
4338 Morsay Dr
Rockford, IL 61107-4877
Phone (815) 399-6400
Other practice location 2
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
Other practice location 3
719 Green Valley Rd Ste 306
Greensboro, NC 27408-7026
Phone (336) 890-2110
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10132043 | Other | IL | BCBS |
| 36829 | Other | WV | WEST VIRGINIA BOARD OF MEDICINE |
| 036102903 | Medicaid | IL | |
| 14D1043269 | Other | IL | CLIA |
Other names 1
- Dr. Lakimerly Michelle Woods-Coates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4338 Morsay Dr
Rockford, IL 61107-4877
Phone (815) 399-6400
8832 US Hwy 90
Daphne, AL 36526-8932
Phone (251) 544-6411
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of skin lesions | 247 |
| Removal of skin cancer | 1-10 |
| Removal or shaving of skin growth | 37 |
| Skin biopsy | 83 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C199443 | CA | MD | Dermatology Physician |
| 036102903 | IL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soderstrom Dermatology Center S C | Dermatology | Current | Accepting new patients |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Soderstrom Dermatology Center S C | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Rockford Dermatology SC | Dermatology | Current | Accepting new patients |
| Eisenhower Medical Center | Current | Accepting new patients |
Locations
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999
410 Maxine Dr
Morton, IL 61550
Phone (309) 263-7546
4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546
4338 Morsay Dr
Rockford, IL 61107
Phone (815) 397-8500
Organizations & group practices 7
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.
-
- Dermatology Physician
- Rockford, IL
- NPI 1487751335
-
dba Sunrise Dermatology
- MOHS-Micrographic Surgery Physician
- Vestavia HLS, AL
- NPI 1477708642
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
- Dermatology Physician
- Peoria, IL
- NPI 1710931670
-
dba Eisenhower Health
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1629384615
-
dba Eisenhower
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1801291539
-
dba Peoria Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1053362343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1871576264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746768",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 SCOTT AVE STE 100",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265088847",
"telephone_number": "715-531-5650"
}
],
"practiceLocations": [
{
"address_1": "4338 Morsay Dr",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611074877",
"country_code": "US",
"telephone_number": "815-399-6400",
"fax_number": "815-399-4424",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-340-3911",
"fax_number": "760-773-1239",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "719 Green Valley Rd Ste 306",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274087026",
"country_code": "US",
"telephone_number": "336-890-2110",
"fax_number": "336-890-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COATES",
"first_name": "LAKIMERLY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "IL",
"license": "036102903",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "NC",
"license": "2026-02304",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "IL",
"license": "036102903",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WV",
"license": "36829",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "C199443",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "IL",
"license": "036102903",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036102903",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "10132043",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA BOARD OF MEDICINE",
"identifier": "36829",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102903",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "14D1043269",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAKIMERLY",
"last_name": "WOODS-COATES",
"middle_name": "MICHELLE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.