Provider Type Icon

KATHLEEN MILES NIKODYM PA NPI 1235210162


NPI Information

NPI: 1235210162
Provider Name: KATHLEEN MILES NIKODYM, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
400 1ST CAPITOL DR STE 100
SAINT CHARLES, MO
ZIP 63301
Phone: (636) 332-8455
Get Directions

Kathleen Miles Nikodym, PA is a surgical physician assistant in Saint Charles, MO with 23 years of experience. Kathleen Miles Nikodym, PA NPI is 1235210162. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 1ST CAPITOL DR STE 100
SAINT CHARLES, MO
ZIP 63301-881
Phone: (636) 332-8455

The NPI 1235210162 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 10/18/2006 and was last updated on 10/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical2002004796MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.