Menelik Mulu, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2011021987 Issued in MO

Practice address

2925 Clinton Rd
Sedalia, MO 65301-7915

Phone

(660) 829-5852

Fax

(660) 829-5854

NPI assigned

Jan 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mercy Medical Center

  • Psychiatry Physician
  • Williston, ND
  • NPI 1801928593
  Medicare reassignment NPD
• Mercy Home Care

  • Home Health Agency
  • Williston, ND
  • NPI 1871593723
  NPD
• Mercy Medical Center

  dba CHI St Alexius Health Williston

  • Diagnostic Radiology Physician
  • Williston, ND
  • NPI 1629234257
  NPD
• Mercy Medical Center

  dba Chi St Alexius Health Williston

  • Clinic/Center
  • Williston, ND
  • NPI 1760549000
  NPD
• Mercy Medical Center

  dba Chi St Alexius Health Williston

  • Critical Access Hospital
  • Williston, ND
  • NPI 1902824576
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1144526740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CLINTON RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017915",
            "telephone_number": "660-829-5852",
            "fax_number": "660-829-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CLINTON RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017915",
            "telephone_number": "660-829-5852",
            "fax_number": "660-829-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULU",
        "first_name": "MENELIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2011021987",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Marie Moss, L.C.S.W.
• Michael R Moulton, CRNA
• Mpower Targeted Case Management
• Brittany Mullins, COTA
• Reagen Mullins
• Ronald Lee Murphy, OTR/L
• Nelson Eyecare Inc.
• Benjamin B Nelson, O.D.
• Deanna Lynn Nelson, O.D.
• Chelsea Newell

• Pediatrics Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.