DR. CHARLES J MULLETT M.D.
NPI 1265514780
Pediatrics - Pediatric Critical Care Medicine in Morgantown, WV

Q: What is Charles Mullett's NPI number?

The NPI number for Charles Mullett is 1265514780. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is Charles Mullett's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Charles Mullett was last updated on April 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 20, 2006PECOS Enrolled

1 STADIUM DRIVE, MORGANTOWN, WV 26506(304) 598-4800(304) 293-6963 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2022, Jan 5, 2021, Oct 17, 2020 (3 updates tracked since 2020).

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About Dr. Charles J Mullett M.d. NPPES

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

DR. CHARLES J MULLETT M.D. (NPI 1265514780) is an individual pediatric critical care medicine provider in Morgantown, West Virginia, licensed in West Virginia (19864) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265514780

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. CHARLES J MULLETTCredential: M.D.

Location Address1 STADIUM DRIVEMorgantown, WV 26506

Mailing AddressPo Box 897Morgantown, WV 26507-0897 · (304) 293-7401 · Fax (304) 293-6963

Phone(304) 598-4800

Fax(304) 293-6963

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateApril 13, 20223 updates tracked since enumeration

NPPES CertifiedApril 13, 2022

✔ NPI 1265514780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in WV · 19864

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1 STADIUM DRIVE, Morgantown, WV 26506

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Other Identifiers 1

Medicaid6700089000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles J Mullett 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.

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.

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