Susan A Miko, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

1212 Issued in NV

Practice address

657 N Town Center Dr
Las Vegas, NV 89144-6367

Phone

(702) 233-7200

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

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.

• Emcare Physician Providers Inc

  • Emergency Medicine Physician
  • Mesquite, NV
  • NPI 1558310797
  NPD (past)
• Healthcare Partners Medical Group (Coats), LTD.

  • Hematology & Oncology Physician
  • Las Vegas, NV
  • NPI 1477701183
  NPD (past)
• Twin Valley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Mesquite, NV
  • NPI 1467401604
  NPD (past)
• Vuthoori & Patel LLC

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1982872164
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1982667697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MARBELLA RIDGE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171488",
            "telephone_number": "702-254-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 N TOWN CENTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891446367",
            "telephone_number": "702-233-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKO",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "1212",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "1212",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "1212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505930",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ BC/BS",
            "identifier": "AZ0201750",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020537",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kornelia Mikhats
• Natalie Ana Mikkelsen
• Jacalyn L Miklas, PT
• Miriam Ruth Miklian
• Alexandra Miklich
• Mikala Mikrut
• James Joseph Mikulich
• Angela Milafsky, LMT
• Bruce Trenelle Milam Jr.
• Milan L Patel MD LTD

• Pediatrics Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.