SUPARNA MULLICK MD
NPI 1366547713
Dermatology in Germantown, TN

Active since September 13, 2006PECOS Enrolled
75/100
CMS Quality Rating
3036 CENTRE OAK WAY, GERMANTOWN, TN 38138(901) 572-0005(901) 572-1102 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2022, Mar 28, 2017 (2 updates tracked since 2017).

About Suparna Mullick Md NPPES

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

SUPARNA MULLICK MD (NPI 1366547713) is an individual dermatology provider in Germantown, Tennessee, licensed in Tennessee (49897) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Germantown, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1366547713
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSUPARNA MULLICKCredential: MD
Location Address3036 CENTRE OAK WAYGermantown, TN 38138-6302
Mailing AddressPo Box 758Paris, TN 38242-0758 · (901) 572-0005 · Fax (901) 572-1102
Fax(901) 572-1102
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 27, 20222 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
NPI 1366547713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TN · 49897
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedPediatricsTaxonomy 208000000X · License 2006013531 (MO)
3036 CENTRE OAK WAY, Germantown, TN 38138

Secondary Practice Location 1

Location 19760 Lipsey CvGermantown, TN 38139-8076 · Phone (901) 277-3534 · Fax (901) 757-9065

Other Identifiers 1

Medicaid200382901MO

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 (PECOS)

Suparna Mullick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406888932
PECOS Enrollment IDI20130725000846
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.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
698 services191 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
560 services428 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
458 services371 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
380 services322 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
325 services204 patients
Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301
This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.
279 services195 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Dermatology
3036 CENTRE OAK WAY
GERMANTOWN, TN 38138
Nurse Practitioner
3036 CENTRE OAK WAY
GERMANTOWN, TN 38138

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 Suparna Mullick's NPI number?

The NPI number for Suparna Mullick is 1366547713. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Suparna Mullick located?

Suparna Mullick practices at 3036 Centre Oak Way, Germantown, TN 38138. The listed phone number is (901) 572-0005.

What is Suparna Mullick's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Suparna Mullick enrolled in Medicare?

Yes. Suparna Mullick is registered in the Medicare PECOS enrollment system.

What insurance does Suparna Mullick accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Suparna Mullick 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 Suparna Mullick was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.