DR. RADHA MIKKILINENI M.D.
NPI 1003842618
Dermatology - Dermatopathology in Garden City, NY

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment
97.47/100
CMS Quality Rating
54 NEW HYDE PARK RD, GARDEN CITY, NY 11530(516) 488-1313 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 2, 2025, Dec 15, 2023, Nov 17, 2023 and 1 more (4 updates tracked since 2017).

About Dr. Radha Mikkilineni M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RADHA MIKKILINENI M.D. (NPI 1003842618) is an individual dermatopathology provider in Garden City, New York, licensed in New York (261852) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Georgetown University School Of Medicine (1998).

NPPES Registry Identity

NPI1003842618
Entity TypeIndividualFemale
Primary Taxonomy207ND0900X
Provider Legal NameDR. RADHA MIKKILINENICredential: M.D.
Location Address54 NEW HYDE PARK RDGarden City, NY 11530-3909
Mailing Address911 Park Ave, Apt 1aNew York, NY 10075-0385 · (202) 723-2432
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1998
Enumeration DateJune 24, 2006
Last NPPES UpdateDecember 2, 20254 updates tracked since enumeration
NPPES CertifiedDecember 2, 2025
NPI 1003842618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License Licensed in NY · 261852
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
54 NEW HYDE PARK RD, Garden City, NY 11530

Secondary Practice Locations 3

Location 134 Bay St Ste 201Sag Harbor, NY 11963-3104 · Phone (631) 919-5087 · Fax (631) 899-3478
Location 21120 19th St NW, Suite 250Washington, DC 20036-3605 · Phone (202) 306-2472 · Fax (202) 723-2432
Location 3700 Park AveNew York, NY 10021-0104 · Phone (212) 517-6555 · Fax (212) 472-6796

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Radha Mikkilineni M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769448463
PECOS Enrollment IDI20110818000204
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
5,331 services2,541 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
1,878 services600 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
1,347 services605 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
166 services139 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
106 services98 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
44 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost91.57

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
Nurse Practitioner (Family)
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
Clinical Nurse Specialist (Family Health)
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
Dermatology
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
Dermatology (Procedural Dermatology)
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
Specialist
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
Physician Assistant
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
Dermatology
54 NEW HYDE PARK RD
GARDEN CITY, NY 11530

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radha Mikkilineni's NPI number?

The NPI number for Radha Mikkilineni is 1003842618. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Radha Mikkilineni located?

Radha Mikkilineni practices at 54 New Hyde Park Rd, Garden City, NY 11530. The listed phone number is (516) 488-1313.

What is Radha Mikkilineni's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Radha Mikkilineni enrolled in Medicare?

Yes. Radha Mikkilineni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Radha Mikkilineni accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Radha Mikkilineni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Radha Mikkilineni was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.