Individual provider Active NPI

Michael Mulock, M.D.

  • Cardiovascular Disease Physician
  • Uniontown, PA
National Provider Identifier
1285951228
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD456277 Issued in PA
Practice address
97 Delaware Ave Ste 103
Uniontown, PA 15401-3137
Phone
(724) 430-0890
Fax
(724) 430-0892
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD456277 PA
Cardiovascular Disease Physician 207RC0000X MD456277 PA Primary

Addresses

Primary practice location

97 Delaware Ave Ste 103
Uniontown, PA 15401-3137

Mailing address

97 Delaware Ave Ste 103
Uniontown, PA 15401-3137
Phone (724) 430-0890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmuluck134642@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160112001351 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244532976 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Jefferson Medical College of Thomas Jefferson University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Cardiology AssocationGroup PAC ID 1254229255, shared by 2 NPIs, 11 clinicians

Practice addresses (Care Compare)

1633 Route 51
Suite 103
Jefferson Hills, PA 15025-3652
Phone 4124691500113

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal34
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD456277PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Jefferson Cardiology Assocation Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
University of Pittsburgh Physicians Cardiovascular Disease CurrentSince Jan 1, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 1, 2016 Accepting new patients
Jefferson Cardiology Assocation CurrentSince Aug 1, 2017 Accepting new patients
US Cardio Greensburg LLC Cardiovascular Disease CurrentSince Aug 1, 2017 Accepting new patients
Regional Health Services Inc Internal Medicine Past Accepting new patients

Locations

6637 State Route 30
Jeannette, PA 15644
Phone (724) 523-2000

575 Coal Valley Rd
Ste 464
Jefferson Hills, PA 15025
Phone (412) 267-6360

1675 Route 51
Jefferson Hls, PA 15025
Phone (412) 382-7155

1633 Route 51
Ste 103
Jefferson Hls, PA 15025
Phone 4124691500113

27 N Thompson Ln
Ste C
North Huntingdon, PA 15642
Phone (724) 221-3045

200 Lothrop St
#S553
Pittsburgh, PA 15213
Phone (412) 647-3429

200 Lothrop St
#58
Pittsburgh, PA 15213
Phone (412) 647-6000

160 Wayland Smith Dr
Ste 204
Uniontown, PA 15401
Phone (724) 430-0310

1000 Park Place Dr
Ste 201
Washington, PA 15301
Phone (412) 405-9585

Interoperability endpoints

  • Direct secure messaging: mmulock@jeffersoncardiology.medentdirect.com

Organizations & group practices 7

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1285951228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 DELAWARE AVE STE 103",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013137",
            "telephone_number": "724-430-0890",
            "fax_number": "724-430-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 DELAWARE AVE STE 103",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013137",
            "telephone_number": "724-430-0890",
            "fax_number": "724-430-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULOCK",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD456277",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD456277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmuluck134642@direct.ahn.org",
            "affiliation": "N",
            "address_1": "97 Delaware Ave Ste 103",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154013137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.