Active NPI
David C Mulligan, M.D.
- Surgery Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD61642153
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-1198 - Phone
- (206) 520-5000
- NPI assigned
- Dec 13, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD61642153 | WA | Primary |
| Transplant Surgery Physician | 204F00000X | MD61642153 | WA |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-1198
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD61642153 | Medicaid | WA | |
| 11048751 | Other | NV | CAQH # |
| 25468 | Other | NV | NV LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NV, WA
- 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
- General Surgery
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 E 2ND St
Suite 300
Reno, NV 89502-1198
Phone (775) 982-5000
1701 Columbia Rd
Seattle, WA 98195-0001
Phone (206) 598-3100
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61642153 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Current | Accepting new patients | |
| Yale University | Surgery | Current | Accepting new patients |
| Community Care Services LLC | Current | Accepting new patients | |
| Association of CHMC and University Physicians | Current | Accepting new patients | |
| Community Care Services LLC | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| The Association of University Physicians | Surgery | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Surgery | Current | Accepting new patients |
| Community Care Services LLC | Transplant Surgery | Past | Accepting new patients |
Locations
333 Cedar St
#121
New Haven, CT 06510
Phone (203) 500-6593
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
1155 Mill St
#M14M14
Reno, NV 89502
1500 E 2nd St
Ste 300
Reno, NV 89502
Phone (775) 322-7811
75 Pringle Way
Ste 901
Reno, NV 89502
Phone (775) 982-3313
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970
1500 E 2nd St
Ste 400
Reno, NV 89502
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
Interoperability endpoints
- dmulligan407522@direct.seattlechildrens.org
- dmulligan209630@direct.renown.org
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Surgery
-
- Internal Medicine Physician
- Reno, NV
- NPI 1720031768
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
Surgery
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
-
- Obstetrics & Gynecology Physician
- Reno, NV
- NPI 1053882589
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Transplant Surgery Physician
- Reno, NV
- NPI 1659856631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1487639449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981951198",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61642153",
"primary": true
},
{
"code": "204F00000X",
"taxonomy_group": "",
"desc": "Transplant Surgery",
"state": "WA",
"license": "MD61642153",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD61642153",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH #",
"identifier": "11048751",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV LICENSE",
"identifier": "25468",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.