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DR. JUSTIN PAUL MIKULA M.D.
NPI 1508839614
Internal Medicine in Warren, OH

Active since February 09, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 36D1047747 · Waiver
1615 N RIVER RD NE, SUITE 1, WARREN, OH 44483(330) 372-2333(330) 373-1111 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Justin Paul Mikula M.d. NPPES

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

DR. JUSTIN PAUL MIKULA M.D. (NPI 1508839614) is an individual internal medicine provider in Warren, Ohio, licensed in Ohio (35.084818) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 13, 2027, and is affiliated with St Elizabeth Youngstown Hospital.

NPPES Registry Identity

NPI1508839614
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JUSTIN PAUL MIKULACredential: M.D.
Location Address1615 N RIVER RD NE, SUITE 1Warren, OH 44483-2437
Mailing Address1615 N River Rd Ne, Suite 1Warren, OH 44483-2437 · (330) 372-2333 · Fax (330) 373-1111
Phone(330) 372-2333
Fax(330) 373-1111
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2002
Enumeration DateFebruary 9, 2006
Last NPPES UpdateApril 1, 2020
NPPES CertifiedApril 1, 2020
✔ NPI 1508839614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.084818
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1615 N RIVER RD NE, Warren, OH 44483
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Other Identifiers 1

Medicaid2580434OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and more.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. Justin Paul Mikula 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 ID8426075185
PECOS Enrollment IDI20051101000679
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.

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 Waiver 36D1047747

Justin P Mikula MD Inc · Warren, OH
Active · expires Nov 13, 2027
CLIA Number36D1047747
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorJustin P. Mikula MD
Laboratory Phone(330) 372-2333
Laboratory LocationJustin P Mikula MD Inc1615 North River Road NE Suite 1, Warren, OH 44483
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
271 services173 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
252 services137 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
164 services164 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
159 services159 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
59 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services19 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44483 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers59 claims117 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers29 claims29 services$1.02 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers12 claims12 services$61.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims76 services$1.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$63.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. TIFFANY VICTOR D.O.
Internal Medicine
1615 N RIVER RD NE
WARREN, OH 44483
Trumbull County (330) 372-2333
LISA A. WHITE N.P.
Nurse Practitioner (Adult Health)
1615 N RIVER RD NE
WARREN, OH 44483
Trumbull County (330) 372-2333
JUSTIN P. MIKULA, M.D., INC.
Internal Medicine
1615 N RIVER RD NE, SUITE 1
WARREN, OH 44483
Trumbull County (330) 372-2333
VINCENT MIKULA NP
Nurse Practitioner (Family)
1615 N RIVER RD NE
WARREN, OH 44483
Trumbull County (330) 372-2333

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 Justin Mikula's NPI number?

The NPI number for Justin Mikula is 1508839614. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Justin Mikula located?

Justin Mikula practices at 1615 N River Rd NE Suite 1, Warren, OH 44483. The listed phone number is (330) 372-2333.

What is Justin Mikula's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Mikula enrolled in Medicare?

Yes. Justin Mikula 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.

Does Justin Mikula hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1047747) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Justin Mikula accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and UnitedHealthcare list Justin Mikula 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.

Is Justin Mikula affiliated with any hospitals?

According to CMS data, Justin Mikula is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Justin Mikula was last updated on April 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.