MULLIGAN MEDICAL LLC
NPI 1962094805
Clinic/Center - Medical Specialty in Scottsdale, AZ

Active since February 10, 2021
9312 E RAINTREE DR, SCOTTSDALE, AZ 85260(480) 291-6565 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mulligan Medical Llc NPPES

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

MULLIGAN MEDICAL LLC (NPI 1962094805) is a healthcare organization registered as a medical specialty in Scottsdale, Arizona and active in the NPI registry since February 2021. The organization lists Elizabeth G Wright, Project Manager, as its authorized official.

NPPES Registry Identity

NPI1962094805
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMULLIGAN MEDICAL LLC
Location Address9312 E RAINTREE DRScottsdale, AZ 85260-2094
Mailing Address7295 N Scottsdale Rd Unit 1002Scottsdale, AZ 85253-1631 · (480) 291-6565
Organization SubpartNo
Authorized OfficialElizabeth G WrightProject Manager · (318) 527-1511
Enumeration DateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
✔ NPI 1962094805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
9312 E RAINTREE DR, Scottsdale, AZ 85260

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mulligan Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mulligan Medical LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1508249061
1440 S. COUNTRY CLUB DR. #30
Mesa, AZ 85210
(480) 505-0500
✔ PECOS✔ Accepts Medicare16 mi
Obstetrics/Gynecology
NPI 1174514244
655 BIENVILLE CIR
Natchitoches, LA 71457
(318) 356-9500
✔ PECOS1,102 mi

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

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 Mulligan Medical LLC's NPI number?

The NPI number for Mulligan Medical LLC is 1962094805. It was assigned to this organization in the NPPES registry on February 10, 2021.

Where is Mulligan Medical LLC located?

Mulligan Medical LLC is located at 9312 E Raintree Dr, Scottsdale, AZ 85260. The listed phone number is (480) 291-6565.

What is Mulligan Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Mulligan Medical LLC enrolled in Medicare?

Yes. Mulligan Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mulligan Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mulligan Medical LLC, in Nurse Practitioner and Obstetrics/Gynecology. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mulligan Medical LLC was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.