STEPHEN ANDREW MIKULAK M.D.
NPI 1891722203
Orthopaedic Surgery - Sports Medicine in Newport Beach, CA

Q: What is Stephen Mikulak's NPI number?

The NPI number for Stephen Mikulak is 1891722203. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Stephen Mikulak's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: Is Stephen Mikulak enrolled in Medicare?

No. Stephen Mikulak has opted out of Medicare through December 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Stephen Mikulak was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 28, 2006Opted out of Medicare · through Dec 6, 2027

360 SAN MIGUEL DR, SUITE 701, NEWPORT BEACH, CA 92660(949) 759-3600(949) 759-0282 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephen Andrew Mikulak M.d. NPPES

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

STEPHEN ANDREW MIKULAK M.D. (NPI 1891722203) is an individual sports medicine provider in Newport Beach, California, licensed in California (G80813) and active in the NPI registry since June 2006. He has opted out of Medicare through December 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1891722203

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameSTEPHEN ANDREW MIKULAKCredential: M.D.

Location Address360 SAN MIGUEL DR, SUITE 701Newport Beach, CA 92660-7853

Mailing Address360 San Miguel Dr, Suite 701Newport Beach, CA 92660-7853 · (949) 759-3600 · Fax (949) 759-0282

Phone(949) 759-3600

Fax(949) 759-0282

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1891722203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · G80813

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License G80813 (CA)

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License G80813 (CA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephen Andrew Mikulak M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 6, 2015 through December 6, 2027.

Opt-Out Effective DateDecember 6, 2015

Opt-Out In Effect ThroughDecember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

2 suppliers53 claims60 services$59.40 avg. paid by Medicare

Hip orthosis, abduction control of hip joint, postoperative hip abduction type, prefabricated, includes fitting and adjustment L1686

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$946.26 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 20

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

JOHN M. SCHWAB, M.D., A MEDICAL CORPORATION

Anesthesiology

360 SAN MIGUEL DR, #207
NEWPORT BEACH, CA 92660

Orange County (949) 721-1113

DR. ROBERT GERTMENIAN BURNS M.D.

Surgery

360 SAN MIGUEL DR, SUITE 608
NEWPORT BEACH, CA 92660

Orange County (949) 760-1144

REX C. MOODY D.S.S.

Dentist (Oral and Maxillofacial Surgery)

360 SAN MIGUEL DR, SUITE 402
NEWPORT BEACH, CA 92660

Orange County (949) 760-1600

NEWPORT ANESTHESIA ASSOCIATES

Specialist

360 SAN MIGUEL DR, SUITE 406
NEWPORT BEACH, CA 92660

Orange County (949) 759-0995

CHALINEE JILL INTARACHOTE D.P.T.

Physical Medicine & Rehabilitation

360 SAN MIGUEL DR, 301
NEWPORT BEACH, CA 92660

Orange County (949) 759-0300

MATTHEW O'MAHONEY D.P.T.

Physical Therapist

360 SAN MIGUEL DR, 301
NEWPORT BEACH, CA 92660

Orange County (714) 759-0300

MR. ALI REZA RAFATJOO M.D.

Family Medicine

360 SAN MIGUEL DR, SUITE 206
NEWPORT BEACH, CA 92660

Orange County (949) 640-4455

NICHOLAS ELIAS ROSE M.D.

Orthopaedic Surgery (Hand Surgery)

360 SAN MIGUEL DR, SUITE#701
NEWPORT BEACH, CA 92660

Orange County (949) 759-3600

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 Stephen Mikulak's NPI number?

The NPI number for Stephen Mikulak is 1891722203. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Stephen Mikulak located?

Stephen Mikulak practices at 360 San Miguel Dr Suite 701, Newport Beach, CA 92660. The listed phone number is (949) 759-3600.

What is Stephen Mikulak's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Stephen Mikulak enrolled in Medicare?

No. Stephen Mikulak has opted out of Medicare through December 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephen Mikulak was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.