Individual provider Active NPI

Anar Mikailov, M.D.

  • Dermatology Physician
  • Rochester, NY
National Provider Identifier
1962764092
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
313757 Issued in NY
Practice address
2150 S Clinton Ave
Rochester, NY 14618-2618
Phone
(585) 256-0555
Fax
(585) 256-0583
NPI assigned
Jun 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 252998 MA
Dermatology Physician 207N00000X 226434 MA
Student in an Organized Health Care Education/Training Program 390200000X 252998 MA
Dermatology Physician 207N00000X 313757 NY Primary

Addresses

Primary practice location

2150 S Clinton Ave
Rochester, NY 14618-2618

Mailing address

2150 S Clinton Ave
Rochester, NY 14618-2618
Phone (585) 256-0555

Other practice location 1

41 Mall Road Lahey Hospital & Medical Ctr
Burlington, MA 01805-5400
Phone (781) 744-5115

Other practice location 2

220 Linden Oaks Ste 300
Rochester, NY 14625-2839
Phone (585) 383-4420

Other identifiers 1

IdentifierTypeStateIssuer
06875396MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211217001445 NY Practitioner - Dermatology 4981832532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

2140 S Clinton Ave
Rochester, NY 14618-2618
Phone (212) 283-3000

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision43
Removal of skin lesions1770
Removal or shaving of skin growth123
Skin biopsy478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
313757NYMDLicensed Practical Nurse
226434MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology PLLC Dermatology CurrentSince Dec 1, 2023 Accepting new patients

Locations

2508 Western Ave
Altamont, NY 12009
Phone (518) 690-0177

4927 Main St
Ste 100
Amherst, NY 14226
Phone (716) 202-7275

4535 Southwestern Blvd
Ste 202
Hamburg, NY 14075
Phone (607) 729-2777

33 E 33rd St
Fl 12
New York, NY 10016
Phone (631) 338-5184

2140 S Clinton Ave
#B
Rochester, NY 14618
Phone (585) 256-0555

2150 S Clinton Ave
#A
Rochester, NY 14618
Phone (585) 256-0555

2150 S Clinton Ave
Rochester, NY 14618
Phone (585) 256-0555

2140 S Clinton Ave
Rochester, NY 14618
Phone (585) 256-0555

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: anar.mikailov@schweigerderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1962764092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182618",
            "telephone_number": "585-256-0555",
            "fax_number": "585-256-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182618",
            "telephone_number": "585-256-0555",
            "fax_number": "585-256-0583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Mall Road Lahey Hospital & Medical Ctr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018055400",
            "country_code": "US",
            "telephone_number": "781-744-5115",
            "fax_number": "781-744-5687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Linden Oaks Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252839",
            "country_code": "US",
            "telephone_number": "585-383-4420",
            "fax_number": "585-383-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKAILOV",
        "first_name": "ANAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "252998",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "226434",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "252998",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "313757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06875396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.