FRONTIER SKIN AND CANCER
NPI 1104562404
Dermatology - MOHS-Micrographic Surgery in Lake Havasu City, AZ

Q: What is W Milyani MD PLLC's NPI number?

The NPI number for W Milyani MD PLLC is 1104562404. It was assigned to this organization in the NPPES registry on May 9, 2022. The provider is doing business as Frontier Skin And Cancer.

Q: What is W Milyani MD PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for W Milyani MD PLLC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since May 09, 2022CLIA 03D2270002 · Certificate of Compliance

1951 MESQUITE AVE STE F, LAKE HAVASU CITY, AZ 86403(725) 867-7126 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2023, Dec 19, 2022, Oct 25, 2022 and 3 more (6 updates tracked since 2022).

On this page

About Frontier Skin And Cancer NPPES

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

FRONTIER SKIN AND CANCER (NPI 1104562404) is a healthcare organization registered as a mohs-micrographic surgery in Lake Havasu City, Arizona and active in the NPI registry since May 2022. The organization holds a CLIA Certificate of Compliance certificate valid through January 9, 2027, maintains a secondary practice location in Parker, and lists Clinton Martin, Member, as its authorized official.

NPPES Registry Identity

NPI1104562404

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameW MILYANI MD PLLC

Location Address1951 MESQUITE AVE STE FLake Havasu City, AZ 86403-5746

Mailing Address9101 W Sahara Ave # 105-1Las Vegas, NV 89117-5772

Phone(725) 867-7126

Organization SubpartNo

Authorized OfficialClinton MartinMember · (928) 963-9333

Enumeration DateMay 9, 2022

Last NPPES UpdateJanuary 9, 20236 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2023

✔ NPI 1104562404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

1951 MESQUITE AVE STE F, Lake Havasu City, AZ 86403

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Other Names 1

Doing Business AsFrontier Skin And Cancer

Secondary Practice Location 1

Location 11200 W Mohave RdParker, AZ 85344-6349 · Phone (928) 963-9333

Other Identifiers 4

Other1396847182Npi

Other1497089874Npi

Other1538896238UT · Npi

Other1013228394Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frontier Skin And Cancer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Frontier Skin And Cancer, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Robert Leposavic, M.D.

Dermatology

NPI 1396847182

5333 HOLLISTER AVE STE 105
Santa Barbara, CA 93111

(805) 770-8400

✔ PECOS✔ Accepts Medicare313 mi

Wael Milyani, M.D.

Pathology

NPI 1497089874

2000 LAKE PARK DR SE
Smyrna, GA 30080

(706) 737-4575

✔ PECOS✔ Accepts Medicare1,704 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 03D2270002

Frontier Skin And Cancer · Lake Havasu City, AZ

Active · expires Jan 9, 2027

CLIA Number03D2270002

Laboratory TypePhysician Office

Certificate Effective DateJanuary 10, 2025

Certificate Expiration DateJanuary 9, 2027

Laboratory DirectorRobert Leposavic

Laboratory Phone(702) 250-1620

Laboratory LocationFrontier Skin And Cancer1951 Mesquite Ave Ste F, Lake Havasu City, AZ 86403

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 W Milyani MD PLLC's NPI number?

The NPI number for W Milyani MD PLLC is 1104562404. It was assigned to this organization in the NPPES registry on May 9, 2022. The provider is doing business as Frontier Skin And Cancer.

Where is W Milyani MD PLLC located?

W Milyani MD PLLC is located at 1951 Mesquite Ave Ste F, Lake Havasu City, AZ 86403. The listed phone number is (725) 867-7126.

What is W Milyani MD PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is W Milyani MD PLLC enrolled in Medicare?

Yes. W Milyani MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through W Milyani MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to W Milyani MD PLLC, in Dermatology and Pathology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does W Milyani MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 03D2270002) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for W Milyani MD PLLC was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.