Individual Healthcare Provider
Radha Mikkilineni, M.D.
Provider's NPPES record last updated: December 2, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003842618
- Primary Specialty
- Dermatology — Dermatopathology
- Practice Location
- Garden City, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:51 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dermatology
Dermatopathology
Allopathic & Osteopathic Physicians
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Taxonomy code 207ND0900X
Provider-Reported License Information
- Dermatology (New York)
- 261852
Practice Locations
Practice Location
54 New Hyde Park Rd
Garden City, New York 11530-3909
Phone: (516) 488-1313
Additional Practice Location
34 Bay St Ste 201
Sag Harbor, New York 11963-3104
Phone: (631) 919-5087
Fax: (631) 899-3478
Additional Practice Location
1120 19th St Nw
Suite 250
Washington, District of Columbia 20036-3605
Phone: (202) 306-2472
Fax: (202) 723-2432
Additional Practice Location
700 Park Ave
New York, New York 10021-0104
Phone: (212) 517-6555
Fax: (212) 472-6796
Record Information
- Enumeration Date
- June 24, 2006
- Provider's NPPES Record Last Updated
- December 2, 2025
- Certification Date
- December 2, 2025
- NPISignal NPPES Dataset
- August 2026
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