OrganizationActive
Dr. Bose S. Mikkilineni, M.D. Facs
NPI 1124141171 · Surgery Physician · Beckley, WV
Dr. Bose S. Mikkilineni, M.D. Facs is a Surgery Physician organization in Beckley, WV (NPI 1124141171).
Provider details
- NPI number
- 1124141171
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bose Mikkilineni, M.D. Facs, Sole Proprietor(304) 253-8416
- License
- WV12282 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
419 Carriage Dr
Beckley, WV 25801-2805
Phone: (304) 253-8416
Fax: (866) 461-4726
Street-level locationGet directions
Mailing address
419 Carriage Dr
Beckley, WV 25801-2805
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2013-01-02
Frequently asked questions
- What is Dr. Bose S. Mikkilineni, M.D. Facs's NPI number?
- Dr. Bose S. Mikkilineni, M.D. Facs's National Provider Identifier (NPI) is 1124141171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr. Bose S. Mikkilineni, M.D. Facs?
- Dr. Bose S. Mikkilineni, M.D. Facs is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dr. Bose S. Mikkilineni, M.D. Facs located?
- Dr. Bose S. Mikkilineni, M.D. Facs's practice location on file with NPPES is 419 Carriage Dr, Beckley, WV 25801-2805.
- What is Dr. Bose S. Mikkilineni, M.D. Facs's phone number?
- The practice phone number listed in the NPPES registry for Dr. Bose S. Mikkilineni, M.D. Facs is (304) 253-8416.
- Who is the authorized official for Dr. Bose S. Mikkilineni, M.D. Facs?
- The authorized official listed on Dr. Bose S. Mikkilineni, M.D. Facs's NPPES record is Bose Mikkilineni, M.D. Facs, Sole Proprietor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr. Bose S. Mikkilineni, M.D. Facs's NPI active?
- Yes — Dr. Bose S. Mikkilineni, M.D. Facs's NPI (1124141171) is active in the NPPES registry as of the last update on 2013-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.