1. Home
  2. Directory
  3. California
  4. San Francisco
  5. Pathology
  6. NPI Profile

THADDEUS MULLY M.D.
NPI 1174519607
Pathology - Dermatopathology in San Francisco, CA

Active since September 20, 2005PECOS Enrolled
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143(415) 476-1000 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thaddeus Mully M.d. NPPES

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

THADDEUS MULLY M.D. (NPI 1174519607) is an individual dermatopathology provider in San Francisco, California, licensed in California (A65484) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Cambridge.

NPPES Registry Identity

NPI1174519607
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameTHADDEUS MULLYCredential: M.D.
Location Address400 PARNASSUS AVESan Francisco, CA 94143-2202
Mailing Address640 Memorial DrCambridge, MA 02139-4853 · (617) 252-6880
Phone(415) 476-1000
Sole ProprietorNo
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJuly 11, 2018
✔ NPI 1174519607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Licenses✔ Licensed in CA · A65484✔ Licensed in NY · 221206
Definition
A dermatopathologist is an expert in diagnosing and monitoring 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 light microscopy, electron microscopy, and fluorescence microscopy.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 221206 (NY)
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License A65484 (CA)
400 PARNASSUS AVE, San Francisco, CA 94143
Open in Google Maps ↗

Secondary Practice Location 1

Location 1640 Memorial DrCambridge, MA 02139-4853 · Phone (617) 252-6880

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thaddeus Mully M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. ALEJANDRA GABRIELA DE ALBA CAMPOMANES MD, MPH
Ophthalmology
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2560
DR. MARISSA A BOECK M.D.
Surgery (Surgical Critical Care)
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2161
DR. JACQUELINE EVA WEINSTEIN M.D.
Otolaryngology (Pediatric Otolaryngology)
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1000
TIFFANY PONG ROSS PA-C
Physician Assistant
400 PARNASSUS AVE, 3RD FLOOR, SUITE 311
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2739
SHINTARO TATEBE MSPT
Physical Therapist
400 PARNASSUS AVE, A-68
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-8574
DR. YVONNE W WU MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2813
DR. DAVID S. BRADFORD MD
Orthopaedic Surgery
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2739
DR. SANG-MO KANG MD
Surgery
400 PARNASSUS AVE
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1551

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thaddeus Mully's NPI number?

The NPI number for Thaddeus Mully is 1174519607. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Thaddeus Mully located?

Thaddeus Mully practices at 400 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (415) 476-1000.

What is Thaddeus Mully's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Thaddeus Mully enrolled in Medicare?

Yes. Thaddeus Mully is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thaddeus Mully was last updated on July 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.