DR. NOVIKOV WELLNESS AND SKIN CARE
NPI 1124418058
Surgery in Northborough, MA

Active since January 30, 2015
318 MAIN STREET, NORTHBOROUGH, MA 01532(508) 936-1657(888) 355-3778 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2020, Nov 1, 2017 (2 updates tracked since 2017).

About Dr. Novikov Wellness And Skin Care NPPES

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

DR. NOVIKOV WELLNESS AND SKIN CARE (NPI 1124418058) is a healthcare organization registered as a surgery in Northborough, Massachusetts and active in the NPI registry since January 2015. The organization lists Mikhail Novikov, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124418058
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMIKHAIL NOVIKOV MD PC
Location Address318 MAIN STREETNorthborough, MA 01532
Mailing Address10 Thaddeus Mason RdNorthborough, MA 01532-2284 · (617) 209-7823 · Fax (617) 336-3306
Fax(888) 355-3778
Organization SubpartNo
Authorized OfficialMikhail NovikovMedical Director · (508) 936-1657
Enumeration DateJanuary 30, 2015
Last NPPES UpdateMarch 20, 20202 updates tracked since enumeration
NPPES CertifiedMarch 20, 2020
✔ NPI 1124418058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 241998
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
318 MAIN STREET, Northborough, MA 01532

Other Names 1

Doing Business AsDr. Novikov Wellness And Skin Care

Other Identifiers 1

Medicaid110109342AMA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Dr. Novikov Wellness And Skin Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dr. Novikov Wellness And Skin Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

General Surgery
NPI 1629278221
318 MAIN ST STE 165
Northborough, MA 01532
(508) 936-1657
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1366540486
945 CONCORD ST
Framingham, MA 01701
(305) 866-7123
✔ PECOS✔ Accepts Medicare11 mi

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

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 Mikhail Novikov MD PC's NPI number?

The NPI number for Mikhail Novikov MD PC is 1124418058. It was assigned to this organization in the NPPES registry on January 30, 2015. The provider is doing business as Dr. Novikov Wellness And Skin Care.

Where is Mikhail Novikov MD PC located?

Mikhail Novikov MD PC is located at 318 Main Street, Northborough, MA 01532. The listed phone number is (508) 936-1657.

What is Mikhail Novikov MD PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mikhail Novikov MD PC enrolled in Medicare?

Yes. Mikhail Novikov MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mikhail Novikov MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in General Surgery, reassign their Medicare billing to Mikhail Novikov MD PC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mikhail Novikov MD PC was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.