Kevin Kaye Mikaelian
M.D. | Orthopedic Surgery | 33+ years Exp
Medicare Enrolled 2545 W Hammer Ln, Stockton
California, 95209-2839
209-957-7050 Maps & DirectionsKevin Kaye Mikaelian is a Stockton, California based orthopedic surgeon with 33 years of experience in Orthopedic Surgery. He completed his graduation from Other in 1992. He is also affiliated with hospitals like Dameron Hospital and Memorial Medical Center. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kevin Kaye Mikaelian is G78209 for Orthopedic Surgery in California.
Kevin Kaye Mikaelian is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Kevin Kaye Mikaelian speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | M.D. |
| Experience: | 33+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1992 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2545 W Hammer Ln, Stockton,
California, 95209-2839 |
| Phone: | 209-957-7050 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6002818176 |
| Enrollment ID: | I20081013000268 |
| NPI Number: | 1093712200 |
| NPI Enumeration Date: | 01 Jul, 2005 |
| NPI Last Update On: | 28 Oct, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Kaye Mikaelian are as mentioned below.
| License Number | Specialization | State | Status | |
| G78209 | Orthopedic Surgery | California | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Dameron Hospital (050122) | Stockton, CA | Acute Care Hospital |
| Memorial Medical Center (050557) | Modesto, CA | Acute Care Hospital |
| St Joseph's Medical Center Of Stockton (050084) | Stockton, CA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kevin Kaye Mikaelian is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Sutter Valley Medical Foundation (9830094515) | 1611 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kevin Kaye Mikaelian such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0219850005 | Other | California | CIGNA MEDICARE PIN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 600 Coffee Rd,
Modesto, California |
| Zip: | 95355-4201 |
| Phone Number: | 209-524-1211 |
| Fax Number: | -- |
Patients can reach Kevin Kaye Mikaelian at
2545 W Hammer Ln, Stockton, California or can
call to book an appointment on 209-957-7050.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.