Active NPI
Matthew Cody Mulcahy, PA-C
- Physician Assistant
- Muskegon, MI
National Provider Identifier
1356009369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010963
- Practice address
- 1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833 - Phone
- (231) 733-1326
- NPI assigned
- Dec 7, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010963 | MI | Primary |
Addresses
Primary practice location
1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Mailing address
14842 Sharon Ave
Grand Haven, MI 49417-9409
Phone (616) 502-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Phone (231) 733-1326
Hospital & facility affiliations
- Trinity Health Grand Haven Hospital
- Trinity Health Muskegon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.76 of 100
- Quality
- 100
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 96.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601010963 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Muskegon, PC | Current | Accepting new patients |
Locations
1400 Mercy Dr
Ste 100
Muskegon, MI 49444
Phone (231) 733-1326
Interoperability endpoints
- matthew.mulcahy.1@29636.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Muskegon, MI
- NPI 1972566594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1356009369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14842 SHARON AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494179409",
"telephone_number": "616-502-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCY DR STE 100",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441833",
"telephone_number": "231-733-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULCAHY",
"first_name": "MATTHEW",
"middle_name": "CODY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-07",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.