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

Q: 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.

Q: What is C. Michael Mullen's specialty?

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

Q: When was this NPI record last updated?

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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 12

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

DR. NIKITA LAVON WILLIAMSON MD

Pediatrics