Individual provider Active NPI

Nathan Craig Mullins, D.O.

  • Diagnostic Radiology Physician
  • Cleveland, OH
National Provider Identifier
1043517006
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A-2377-20 Issued in NM
Practice address
9500 Euclid Ave
Cleveland, OH 44195-3861
Phone
(216) 839-3000
NPI assigned
Feb 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A-2377-20 NM Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-3861

Mailing address

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 839-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200629000731 NM Practitioner - Diagnostic Radiology 7810289378 Reassigns benefits to 1 organization
I20240917002771 LA Practitioner - Diagnostic Radiology 7810289378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

112 Squawbush CT
Grants, NM 87020-4227
Phone (216) 448-0212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-2377-20NMMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Health Services Professional Association, Inc CurrentSince Jun 1, 2020 Accepting new patients
Children'S Hospital CurrentSince Jul 25, 2024 Accepting new patients
Children'S Hospital Pediatric Radiology CurrentSince Jul 25, 2024 Accepting new patients
Gunnison Valley Hospital Diagnostic Radiology Past Accepting new patients

Locations (25 of 65)

829 Barataria Blvd
Marrero, LA 70072
Phone (504) 347-4537

4545 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 896-9822

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

4125 Medina Rd
Akron, OH 44333
Phone (330) 375-8104

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

33100 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 695-4000

33300 Cleveland Clinic Blvd
Avon, OH 44011
Phone (440) 686-0105

33355 Health Campus Blvd
Avon, OH 44011
Phone (330) 670-0460

450 Avon Belden Rd
Avon Lake, OH 44012
Phone (440) 930-6800

3025 Science Park Dr
Beachwood, OH 44122
Phone (216) 445-6400

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

3574 Center Rd
Brunswick, OH 44212
Phone (330) 225-8886

17747 Chillicothe Rd
Ste 100
Chagrin Falls, OH 44023
Phone (440) 543-8855

551 Washington St
Chagrin Falls, OH 44022
Phone (440) 893-9393

26900 Cedar Rd
Cleveland, OH 44122
Phone (216) 839-3000

18200 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7088

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

354 W Main Rd
Conneaut, OH 44030
Phone (440) 599-2262

4389 Medina Rd
Copley, OH 44321
Phone (234) 678-9332

330 Broadway St E
Cuyahoga Fls, OH 44221
Phone (330) 436-0910

13944 Euclid Ave
East Cleveland, OH 44112
Phone (216) 431-4131

303 Chestnut Commons Dr
Elyria, OH 44035
Phone (440) 204-7823

Organizations & group practices 4

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": "1298678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1043517006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-839-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441953861",
            "telephone_number": "216-839-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "NATHAN",
        "middle_name": "CRAIG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-26",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "A-2377-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.