Individual provider Active NPI

Casey Mulcihy, M.D.

  • Pediatrics Physician
  • Austin, TX
National Provider Identifier
1386757953
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G5413 Issued in TX
Practice address
5625 Eiger Rd Ste 225
Austin, TX 78735-8983
Phone
(512) 447-5588
Fax
(512) 447-6990
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G5413 TX Primary

Addresses

Primary practice location

5625 Eiger Rd Ste 225
Austin, TX 78735-8983

Mailing address

4007 James Casey St
Suite D200
Austin, TX 78745-3355
Phone (512) 447-5588

Other identifiers 1

IdentifierTypeStateIssuer
130738104MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100216000445 TX Practitioner - Pediatric Medicine 8820131386 Practice locations: Austin, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TCH Pediatric Associates, Inc Pediatrics PastSince Mar 1, 2020 Accepting new patients
TCH Pediatric Associates, Inc Pediatrics PastSince Mar 1, 2020 Accepting new patients
Casey Thomas Mulcihy - Austin Texas Pediatrics PastSince Jan 1, 1990 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1386757953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 JAMES CASEY ST",
            "address_2": "SUITE D200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787453355",
            "telephone_number": "512-447-5588",
            "fax_number": "512-447-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 EIGER RD STE 225",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787358983",
            "telephone_number": "512-447-5588",
            "fax_number": "512-447-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCIHY",
        "first_name": "CASEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "G5413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130738104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.