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SAMIR MULLICK MD SC
NPI 1235182221
Pediatrics in Milwaukee, WI

Active since May 18, 2006CLIA 52D0712457 · Microscopy
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216(414) 873-3440 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samir Mullick Md Sc NPPES

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

SAMIR MULLICK MD SC (NPI 1235182221) is a healthcare organization registered as a pediatrics in Milwaukee, Wisconsin and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through September 20, 2026 and lists Samir Mullick, Owner, as its authorized official.

NPPES Registry Identity

NPI1235182221
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSAMIR MULLICK MD SC
Location Address4267 W FOND DU LAC AVEMilwaukee, WI 53216-3527
Mailing Address4267 W Fond Du Lac AveMilwaukee, WI 53216-3527 · (414) 873-3440
Phone(414) 873-3440
Organization SubpartNo
Authorized OfficialSamir MullickOwner · (414) 873-3440
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1235182221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 38382
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4267 W FOND DU LAC AVE, Milwaukee, WI 53216
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Other Identifiers 1

Medicaid21267700WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 52D0712457

Samir Mullick, Mdsc · Milwaukee, WI
Active · expires Sep 20, 2026
CLIA Number52D0712457
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorDr. Samir Mullick
Laboratory Phone(414) 873-3440
Laboratory LocationSamir Mullick, Mdsc4267 W Fond Du Lac Ave, Milwaukee, WI 53216
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

ANITA P OBRIEN NP
Nurse Practitioner (Pediatrics)
4267 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 873-3440
CAROLYN M SCHELLIE MN, CPNP
Nurse Practitioner (Pediatrics)
4267 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 873-3440
DR. EDWARD JAMES MUELLERLEILE MD
Pediatrics
4267 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 873-3440
SAMIR MULLICK MD
Pediatrics
4267 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 873-3440
RITA GNYAWALI M.D.
Pediatrics
4267 W FOND DU LAC AVE
MILWAUKEE, WI 53216
Milwaukee County (414) 873-3440

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 Samir Mullick MD Sc's NPI number?

The NPI number for Samir Mullick MD Sc is 1235182221. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Samir Mullick MD Sc located?

Samir Mullick MD Sc is located at 4267 W Fond Du Lac Ave, Milwaukee, WI 53216. The listed phone number is (414) 873-3440.

What is Samir Mullick MD Sc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Samir Mullick MD Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 52D0712457) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Samir Mullick MD Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Samir Mullick MD Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samir Mullick MD Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.