Active NPI
Sharleen Mulliken, M.D.
- Internal Medicine Physician
- San Jose, CA
National Provider Identifier
1144580101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- LP02488
- Practice address
- 2425 Samaritan Dr
San Jose, CA 95124-3908 - Phone
- (408) 371-4714
- Fax
- (408) 371-4969
- NPI assigned
- May 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP02488 | RI | Primary |
Addresses
Primary practice location
2425 Samaritan Dr
San Jose, CA 95124-3908
Mailing address
2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 371-4714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000
Hospital & facility affiliations
- Newton-Wellesley Hospital
- Massachusetts General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP02488 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Current | Accepting new patients | |
| Newton Wellesley Hospital | Current | Accepting new patients | |
| Newton-Wellesley Hospital | Past | Accepting new patients |
Locations
2014 Washington St
Newtonville, MA 02462
Phone (617) 243-6000
Interoperability endpoints
- mulliken.sharleen.nwh@direct.partners.masshiway.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- General Acute Care Hospital
- Newton, MA
- NPI 1952845521
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1144580101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243908",
"telephone_number": "408-371-4714",
"fax_number": "408-371-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951243908",
"telephone_number": "408-371-4714",
"fax_number": "408-371-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIKEN",
"first_name": "SHARLEEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-24",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.