Active NPI
Michael James Mulick, D.O.
- Anesthesiology Physician
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 102612-875
- Practice address
- 600 Highland Ave
Madison, WI 53792-5395 - Phone
- (608) 263-8100
- Fax
- (608) 262-6247
- NPI assigned
- Jul 28, 2008
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 20A12359 | CA | |
| Anesthesiology Physician | 207L00000X | 047459 | CT | |
| Anesthesiology Physician | 207L00000X | DO3686 | NV | |
| Anesthesiology Physician | 207L00000X | 102612-875 | WI | Primary |
| Anesthesiology Physician | 207L00000X | OP60020990 | WA |
Addresses
Primary practice location
600 Highland Ave
Madison, WI 53792-5395
Mailing address
PO Box 840857 M/S #3
Dallas, TX 75284-6062
Phone (725) 204-4632
Other practice location 1
1800 W Charleston Blvd
Las Vegas, NV 89102-2386
Phone (702) 383-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.25 of 100
- Quality
- 74.41
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.49 of 100
- Quality
- 35.47
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO3686 | NV | MD | Anesthesiology Physician |
| OP60020990 | WA | MD | Anesthesiology Physician |
| 102612-875 | WI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Children'S Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients | |
| University Medical Center of Southern Nevada | Current | Accepting new patients | |
| University Medical Center of Southern Nevada | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Ventura County Anesthesia Medical Group, Inc. | Anesthesiology | Current | Accepting new patients |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| Arizona Anesthesia Consultants, Inc. | Anesthesiology | Past | Accepting new patients |
| County of Ventura | Past | Accepting new patients | |
| Valley Children'S Medical Group | Past | Accepting new patients | |
| Children'S Hospital Los Angeles | Past | Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
4650 W Sunset Blvd
#3
Los Angeles, CA 90027
Phone (323) 361-5918
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3116 W March Ln
Ste 200
Stockton, CA 95219
Phone (510) 537-1234
26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300
3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000
1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
-
- Anesthesiology Physician
- Ventura, CA
- NPI 1679837645
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Health Educator
- Madison, WI
- NPI 1487414082
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Anesthesiology Physician
- Laguna Hills, CA
- NPI 1861373631
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1982662912
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1740402940
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1386809440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840857 M/S #3",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846062",
"telephone_number": "725-204-4632",
"fax_number": "702-805-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 HIGHLAND AVE",
"city": "MADISON",
"state": "WI",
"postal_code": "537925395",
"telephone_number": "608-263-8100",
"fax_number": "608-262-6247"
}
],
"practiceLocations": [
{
"address_1": "1800 W Charleston Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891022386",
"country_code": "US",
"telephone_number": "702-383-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULICK",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-28",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "20A12359",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "047459",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NV",
"license": "DO3686",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "102612-875",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "OP60020990",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.