NPIMap

Individual provider Active NPI

Mikhail Novikov, M.D.

  • Nephrology Physician
  • Okatie, SC
National Provider Identifier
1902855133
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
15443 Issued in SC
Practice address
16 Okatie Ctr Blvd Ste 100
Okatie, SC 29909-7533
Phone
(843) 706-9955
Fax
(843) 706-9956
NPI assigned
May 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-07-5314-N OH
Nephrology Physician 207RN0300X 35-07-5314-N OH
Nephrology Physician 207RN0300X 15443 SC Primary

Addresses

Primary practice location

16 Okatie Ctr Blvd Ste 100
Okatie, SC 29909-7533

Mailing address

PO Box 15238
Savannah, GA 31416-1938
Phone (912) 354-4813

Other identifiers 2

IdentifierTypeStateIssuer
514438MedicaidSC
SCB0527157OtherSCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20170919000839 SC Practitioner - Nephrology 1951438340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Kentucky College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16 Okatie Ctr S Blvd
Suite 100
Okatie, SC 29909-7533
Phone (843) 706-9955

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology and Hypertension Medical Associates PC Nephrology Current Accepting new patients
Nephrology and Hypertension Medical Associates PC CurrentSince Sep 1, 2017 Accepting new patients
Nephrology and Hypertension Medical Associates PC CurrentSince Sep 1, 2017 Accepting new patients
Nephrology and Hypertension Medical Associates PC Nephrology Past Accepting new patients
Fresenius Medical Care Beaufort County, LLC PastSince Oct 5, 2022 Accepting new patients

Locations

16 Kemmerlin Ln
#A
Beaufort, SC 29907
Phone (843) 524-2002

16 Okatie Center Blvd S
Ste 100
Okatie, SC 29909
Phone (843) 706-9955

Interoperability endpoints

  • Direct secure messaging: mikhailnovikov@nhma.allscriptsdirect.net

Organizations & group practices 5

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 6

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": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902855133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15238",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161938",
            "telephone_number": "912-354-4813",
            "fax_number": "912-354-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 OKATIE CTR BLVD STE 100",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097533",
            "telephone_number": "843-706-9955",
            "fax_number": "843-706-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIKOV",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-5314-N",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35-07-5314-N",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "15443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514438",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCB0527157",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.