Individual provider Active NPI

Laura Tancreti Mulreany, M.D.

  • Pediatric Pulmonology Physician
  • Bethesda, MD
National Provider Identifier
1093779381
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
D76570 Issued in MD
Practice address
Walter Reed National Military Ctr
8901 Wisconsin Ave, Department of Pediatrics
Bethesda, MD 20889-0001
Phone
(301) 295-4959
Fax
(301) 295-6173
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X MD068370-L PA
Pediatric Pulmonology Physician 2080P0214X 54626 VA
Pediatric Pulmonology Physician 2080P0214X D76570 MD Primary

Addresses

Primary practice location

Walter Reed National Military Ctr
8901 Wisconsin Ave, Department of Pediatrics
Bethesda, MD 20889-0001

Mailing address

Walter Reed National Military Ctr
8901 Wisconsin Ave, Department of Pediatrics
Bethesda, MD 20889-0001
Phone (301) 295-4959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140422001608 DC Order and Referring Only - Pediatric MedicinePractitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 1951533199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D76570MDMDPediatric Pulmonology Physician
MD068370-LPAMDPediatric Pulmonology Physician
54626VAMDPediatric Pulmonology Physician

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1093779381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALTER REED NATIONAL MILITARY CTR",
            "address_2": "8901 WISCONSIN AVE, DEPARTMENT OF PEDIATRICS",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4959",
            "fax_number": "301-295-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED NATIONAL MILITARY CTR",
            "address_2": "8901 WISCONSIN AVE, DEPARTMENT OF PEDIATRICS",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-295-4959",
            "fax_number": "301-295-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULREANY",
        "first_name": "LAURA",
        "middle_name": "TANCRETI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "PA",
            "license": "MD068370-L",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "VA",
            "license": "54626",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "MD",
            "license": "D76570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.