Luis Raul Colon-Mulero, M.D.
Individual provider Active NPI Family Medicine Physician · Oakland, MD
NPI 1326401902 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1326401902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- D97566 (MD)
- Practice address
- 251 N 4TH St
Oakland, MD 21550-1375 - Phone
- (301) 533-4000
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medical Rehabilitation Systems LLC
Specialty Physicians of Garrett County, LLC
Mrs Physical Therapy
Practice addresses (Care Compare)
12580 National Pike
Grantsville, MD 21536-3310
Phone (301) 895-5793
251 N 4TH St
Specialty Physicians of Garrett County
Oakland, MD 21550-1375
Phone (301) 533-4000
4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650
Hospital & facility affiliations
- Garrett County Health Department
- Upmc Western Maryland
- Garrett Regional Medical Center
- Western Maryland Regional Medical Center
- West Virginia University Hospitals, Inc
- Conemaugh Meyersdale Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230906002492 | MD | Practitioner - Hospitalist |
3577856715 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D97566 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Physicians of Garrett County, LLC | Current |
Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current |
Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
32 Corporate Dr
Grantsville, MD 21536
Phone (301) 895-3922
311 N 4th St
Oakland, MD 21550
Phone (301) 334-7420
251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
255 N 4th St
Ste 2
Oakland, MD 21550
Phone (301) 334-8282
Interoperability endpoints
- lcolonmulero29923@umassmemorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D97566 | MD | Yes |
Addresses
Primary practice location
251 N 4TH St
Oakland, MD 21550-1375
Mailing address
PO Box 1647
Morgantown, WV 26507-1647
Phone (304) 285-7101
Other providers in Oakland, MD
- Cathy A Cimaglia
- Citrus Dermatology Services of MD PC
- City Hospital Inc
- Sanaya Renee Clark
- Sara Michelle Cockerham
- Community Care Labs & Mobile Services
- Community Life LLC
- Heather L Cooper
- Belinda Sue Corby
- Megan Maree Corby
All providers in Oakland, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.