Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICK ANTHONY MICKAS MD
NPI 1912963018
Pediatrics - Neonatal-Perinatal Medicine in Walnut Creek, CA

Q: What is Nick Mickas's NPI number?

The NPI number for Nick Mickas is 1912963018. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Nick Mickas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Nick Mickas was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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 April 26, 2006PECOS Enrolled

1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598(925) 947-5350 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Nick Anthony Mickas Md NPPES

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

NICK ANTHONY MICKAS MD (NPI 1912963018) is an individual neonatal-perinatal medicine provider in Walnut Creek, California, licensed in California (A62807) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1912963018

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameNICK ANTHONY MICKASCredential: MD

Location Address1601 YGNACIO VALLEY RDWalnut Creek, CA 94598-3122

Mailing Address1601 Ygnacio Valley RdWalnut Creek, CA 94598-3122 · (925) 947-5350 · Fax (510) 450-5823

Phone(925) 947-5350

Sole ProprietorNo

Enumeration DateApril 26, 2006

Last NPPES UpdateSeptember 8, 2026

NPPES CertifiedSeptember 8, 2026

✔ NPI 1912963018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in CA · A62807

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1601 YGNACIO VALLEY RD, Walnut Creek, CA 94598

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Secondary Practice Location 1

Location 1747 52nd St, Neonatology 3rd FloorOakland, CA 94609-1809 · Phone (510) 428-3276 · Fax (510) 450-5823

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nick Anthony Mickas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MALCOLM C JOHNSON MD

Emergency Medicine