Active NPI
John Randolph Mullins, MD
- Vascular Surgery Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 114866
- Practice address
- 3800 S National Ave
Springfield, MO 65807-5209 - Phone
- (417) 875-3000
- Fax
- (417) 875-3737
- NPI assigned
- Jun 6, 2006
- Last updated
- Apr 9, 2024
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 114866 | MO | Primary |
Addresses
Primary practice location
3800 S National Ave
Springfield, MO 65807-5209
Mailing address
PO Box 505673
Saint Louis, MO 63150-5673
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114254 | Other | BLUE CROSS/BLUE SHIELD | |
| 206962813 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Oklahoma College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3800 S National Ave
Suite 160
Springfield, MO 65807-5228
Phone (417) 875-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.52 of 100
- Quality
- 61.64
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.77
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Vascular Surgery | Current | Accepting new patients |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000
1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037
1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434
1001 E Primrose St
Ste 200
Springfield, MO 65807
Phone (417) 875-3275
3525 S National Ave
Ste 101
Springfield, MO 65807
Phone (417) 269-9950
3800 S National Ave
Springfield, MO 65807
Phone (417) 269-0565
3800 S National Ave
Fl 4
Springfield, MO 65807
Phone (417) 875-3203
3800 S National Ave
Ste 160
Springfield, MO 65807
Phone (417) 875-2624
3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482
3805 S Kansas Expy
Ste B
Springfield, MO 65807
Phone (417) 269-0269
Interoperability endpoints
- j.mullins@cernerdirect.coxhealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cox Health Cardiovascular Services
- Cardiovascular Disease Physician
- Springfield, MO
- NPI 1750036703
-
dba Coxhealth Center Chesterfield
- Family Medicine Physician
- Springfield, MO
- NPI 1427123140
-
dba CoxHealth Neurology
- Neurology Physician
- Springfield, MO
- NPI 1023763414
-
dba CoxHealth Advantage Care Clinic
- Geriatric Medicine (Internal Medicine) Physician
- Springfield, MO
- NPI 1356068605
-
dba Coxhealth Vascular Surgery and Medicine
- Vascular Surgery Physician
- Springfield, MO
- NPI 1407500994
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cox Medical Centers
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
dba Cox Air Care
- Air Ambulance
- Springfield, MO
- NPI 1578680286
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1396784377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505673",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631505673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075209",
"telephone_number": "417-875-3000",
"fax_number": "417-875-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "JOHN",
"middle_name": "RANDOLPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MO",
"license": "114866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "114254",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "206962813",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.