Individual provider Active NPI

Michael James Mulick, D.O.

  • Anesthesiology Physician
  • Madison, WI
National Provider Identifier
1386809440
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
102612-875 Issued in WI
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

Updated by the provider on Jul 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20130813000175 CA Practitioner - Anesthesiology 3971658311 Reassigns benefits to 3 organizations
I20240823001103 NV Practitioner - Anesthesiology 3971658311 Reassigns benefits to 1 organization
I20250303000765 WI Practitioner - Anesthesiology 3971658311 Reassigns benefits to 1 organization

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
University Medical Center of Southern NevadaGroup PAC ID 7315934429, 388 clinicians

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 100Reported as group
Quality
74.41
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
74.49 of 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO3686NVMDAnesthesiology Physician
OP60020990WAMDAnesthesiology Physician
102612-875WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 2, 2025 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 2, 2025 Accepting new patients
Children'S Hospital Los Angeles Medical Group, Inc. CurrentSince Jul 3, 2013 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Aug 1, 2025 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Aug 1, 2025 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 2, 2025 Accepting new patients
Ventura County Anesthesia Medical Group, Inc. Anesthesiology CurrentSince Mar 1, 2015 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Apr 2, 2025 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology PastSince Feb 2, 2020 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.

View all 14

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

Verify at the official NPI Registry.