Active NPI
Peter J Mulhern, MD
- Orthopaedic Surgery Physician
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 053517
- Practice address
- 8550 NE 138TH LN
Building 400, Suite 101B
Lady Lake, FL 32159-8957 - Phone
- (352) 751-1036
- Fax
- (352) 750-4698
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 053517 | GA | Primary |
Addresses
Primary practice location
8550 NE 138TH LN
Building 400, Suite 101B
Lady Lake, FL 32159-8957
Mailing address
PO Box 3130
Ocala, FL 34478-3130
Phone (352) 751-1036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06698867A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- Quality
- 49.04
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 69.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37362 | TN | MD | Pharmacist |
| 053517 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Omni Healthcare, Inc. | Current | Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Past | Accepting new patients | |
| Parkway Orthopaedic Center, PC | Orthopaedic Surgery | Past | Accepting new patients |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032
205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
4113 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 241-9071
209 Crossroads Pl
Ste 150
Mount Vernon, IL 62864
Phone (618) 244-6222
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
Interoperability endpoints
- peter.mulhern.1@27782.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Specialist
- Melbourne, FL
- NPI 1134191323
-
- Surgery Physician
- Marion, IL
- NPI 1972210235
-
- Orthopaedic Surgery Physician
- Ringgold, GA
- NPI 1609823343
-
- Hospitalist Physician
- Anna, IL
- NPI 1225858251
-
- Orthopaedic Surgery Physician
- Mount Vernon, IL
- NPI 1477260743
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1417932005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3130",
"city": "OCALA",
"state": "FL",
"postal_code": "344783130",
"telephone_number": "352-751-1036",
"fax_number": "352-750-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 NE 138TH LN",
"address_2": "BUILDING 400, SUITE 101B",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321598957",
"telephone_number": "352-751-1036",
"fax_number": "352-750-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHERN",
"first_name": "PETER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "053517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06698867A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.