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CAROLINE ELIZABETH MULLIS M.D.
NPI 1871024638
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 23, 2017PECOS Enrolled
100/100
CMS Quality Rating
17 E 102ND ST, CENTER FOR ADVANCED MEDICINE, NEW YORK, NY 10029(212) 659-8551 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2020, Mar 23, 2017 (2 updates tracked since 2017).

About Caroline Elizabeth Mullis M.d. NPPES

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

CAROLINE ELIZABETH MULLIS M.D. (NPI 1871024638) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1871024638
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLINE ELIZABETH MULLISCredential: M.D.
Location Address17 E 102ND ST, CENTER FOR ADVANCED MEDICINENew York, NY 10029-5204
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4622
Phone(212) 659-8551
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateMay 11, 20202 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1871024638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
17 E 102ND ST, New York, NY 10029
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4622

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Elizabeth Mullis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446596589
PECOS Enrollment IDI20221107001824
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 Caroline Mullis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
1.0 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331

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

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
45 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

JENNIFER WEINTRAUB
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551
LOGAN LAURENCE BARTRAM
Internal Medicine (Infectious Disease)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-7968
LABINIA OSEI-BONSU NP
Nurse Practitioner (Family)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-5415
GABRIELA SANTIAGO-ACOSTA
Internal Medicine (Rheumatology)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551
DR. RACHEL SOLOMON M.D.
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551
MISS SARAH MARIE PENROSE FNP
Nurse Practitioner (Family)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 241-7270
MS. MELISSA CUEVAS NP
Nurse Practitioner (Family)
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8554
ANJALI GUPTA M.D.
Internal Medicine
17 E 102ND ST
NEW YORK, NY 10029
New York County (212) 659-8551

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 Caroline Mullis's NPI number?

The NPI number for Caroline Mullis is 1871024638. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Caroline Mullis located?

Caroline Mullis practices at 17 E 102nd St Center For Advanced Medicine, New York, NY 10029. The listed phone number is (212) 659-8551.

What is Caroline Mullis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Caroline Mullis enrolled in Medicare?

Yes. Caroline Mullis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Caroline Mullis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Mullis reassigns Medicare benefits to Montefiore Medical Center (New York, NY). 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 Caroline Mullis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Caroline Mullis affiliated with any hospitals?

According to CMS data, Caroline Mullis is affiliated with Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Mullis was last updated on May 11, 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.