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C. MICHAEL MULLEN IV
NPI 1467871087
Pediatrics in Oak Lawn, IL

Active since April 10, 2014PECOS Enrolled
4440 W 95TH ST STE 2177H, OAK LAWN, IL 60453(708) 684-5341(708) 684-4716 Get Directions Write a Review

NPPES record last updated: December 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About C. Michael Mullen Iv NPPES

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

C. MICHAEL MULLEN IV (NPI 1467871087) is an individual pediatrics provider in Oak Lawn, Illinois, licensed in Illinois (036-142684) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Park Ridge.

NPPES Registry Identity

NPI1467871087
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameC. MICHAEL MULLEN IV
Location Address4440 W 95TH ST STE 2177HOak Lawn, IL 60453-2600
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(708) 684-5341
Fax(708) 684-4716
Sole ProprietorNo
Enumeration DateApril 10, 2014
Last NPPES UpdateDecember 10, 2022
NPPES CertifiedDecember 10, 2022
✔ NPI 1467871087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IL · 036-142684✔ Licensed in IL · 125.064780
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.
4440 W 95TH ST STE 2177H, Oak Lawn, IL 60453
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Secondary Practice Location 1

Location 11675 Dempster St, Yacktman PavilionPark Ridge, IL 60068-1110 · Phone (847) 318-9300

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

C. Michael Mullen Iv 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.

Medicare Billing Reassignment

Medicare enrollment records show C. Michael Mullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advocate Health & Hospitals Corporation
Same address
Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1912936014 (847) 390-5900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 11

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

SEETAL MISHRA M.D.
Pediatrics
4440 W 95TH ST STE 2177H
OAK LAWN, IL 60453
Cook County (708) 684-5341
DR. NIKITA LAVON WILLIAMSON MD
Pediatrics
4440 W 95TH ST STE 2177H
OAK LAWN, IL 60453
Cook County (708) 684-5341
DR. MARK M BUTTERLY M.D.
Pediatrics
4440 W 95TH ST STE 2177H
OAK LAWN, IL 60453
Cook County (708) 684-5341
DR. SNEHA TOLIA DO
Pediatrics
4440 W 95TH ST STE 2177H
OAK LAWN, IL 60453
Cook County (708) 684-5341
DANIELA ESPINOZA NP
Nurse Practitioner (Family)
4440 W 95TH ST STE 2177H
OAK LAWN, IL 60453
Cook County (708) 684-8000
KIMI PATEL
Pediatrics
4440 W 95TH ST STE 2177H
OAK LAWN, IL 60453
Cook County (708) 684-5341
MS. TASIA M PEARSON APRN, FNP-C
Nurse Practitioner (Pediatrics)
4440 W 95TH ST STE 2177H
OAK LAWN, IL 60453
Cook County (708) 684-5341
SHIRALI G. PATEL D.O.
Pediatrics
4440 W 95TH ST STE 2177H
OAK LAWN, IL 60453
Cook County (708) 684-8000

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 C. Michael Mullen's NPI number?

The NPI number for C. Michael Mullen is 1467871087. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is C. Michael Mullen located?

C. Michael Mullen practices at 4440 W 95th St Ste 2177H, Oak Lawn, IL 60453. The listed phone number is (708) 684-5341.

What is C. Michael Mullen's specialty?

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

Is C. Michael Mullen enrolled in Medicare?

Yes. C. Michael Mullen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for C. Michael Mullen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), C. Michael Mullen reassigns Medicare benefits to Advocate Health & Hospitals Corporation (Oak Lawn, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for C. Michael Mullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for C. Michael Mullen was last updated on December 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.