NPIMap

Individual provider Active NPI

Bandy B Mullins, MD

  • Surgery Physician
  • Summersville, WV
National Provider Identifier
1033249057
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
22570 Issued in WV
Practice address
400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone
(304) 872-8404
Fax
(304) 872-0409
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 22570 WV Primary

Addresses

Primary practice location

400 Fairview Heights Rd
Summersville, WV 26651-9308

Mailing address

400 Fairview Heights Rd
Summersville, WV 26651-9308
Phone (304) 872-8404

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bmullins130041@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address bmullins130041@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address bmullins130041@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000294 WV Practitioner - General Surgery 9032201165 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Braxton County Memorial Hospital 46 clinicians
West Virginia Health Care Cooperative Inc 61 clinicians

Practice addresses (Care Compare)

100 Hoylman Dr
Gassaway, WV 26624-9318
Phone (304) 364-5156

400 Fairview Heighs Rd
Summersville, WV 26651-9308
Phone (304) 872-8402

Hospital & facility affiliations

  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
  • Braxton County Memorial Hospital, Inc Hospital, Gassaway, WV, CCN 511308
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22570WVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Health Care Cooperative Inc Current Accepting new patients
West Virginia Health Care Cooperative Inc CurrentSince Jul 1, 2019 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jul 15, 2019 Accepting new patients
Braxton County Memorial Hospital CurrentSince Jul 15, 2019 Accepting new patients
Summersville Regional Medical Center PastSince Nov 1, 2012 Accepting new patients
Bandy B. Mullins, MD, PLLC Surgery PastSince Aug 1, 2007 Accepting new patients
Hope Clinic, PLLC Past Accepting new patients

Locations

100 Hoylman Dr
Gassaway, WV 26624
Phone (304) 364-1046

400 Fairview Heights Rd
Ste 202
Summersville, WV 26651
Phone (304) 872-8404

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

Interoperability endpoints

  • Direct secure messaging: bmullins@yourcarecommunity.org
  • Direct secure messaging: bmullins@rhc.gwaydirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1033249057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-8404",
            "fax_number": "304-872-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW HEIGHTS RD",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266519308",
            "telephone_number": "304-872-8404",
            "fax_number": "304-872-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "BANDY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "22570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmullins130041@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Heights Rd",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266519308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmullins130041@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Heights Rd",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266519308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmullins130041@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Fairview Heights Rd",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266519308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.