DR. KIRAN MULLUR MD
NPI 1164982880
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157(336) 716-4479 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Kiran Mullur Md NPPES

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

DR. KIRAN MULLUR MD (NPI 1164982880) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and is a graduate of University Of Massachusetts Medical School (2019).

NPPES Registry Identity

NPI1164982880
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. KIRAN MULLURCredential: MD
Location Address1 MEDICAL CENTER BOULEVARDWinston Salem, NC 27157-0001
Mailing Address1 Jonathan AveMillbury, MA 01527-3950 · (508) 450-1534
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2019
Enumeration DateMarch 20, 2019
NPI 1164982880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1 MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kiran Mullur Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264769181
PECOS Enrollment IDI20240329001574
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER BOULEVARD, WAKE FOREST BAPTIST MEDICAL CENTER
WINSTON SALEM, NC 27157
Genetic Counselor, MS
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Dietitian, Registered
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Physical Therapist
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164982880, enumerated as an "individual" on March 20, 2019.

The provider is located at 1 MEDICAL CENTER BOULEVARD WINSTON SALEM, NC 27157 and the phone number is (336) 716-4479.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.

Kiran Mullur is affiliated with: NORTH CAROLINA BAPTIST HOSPITAL.