Individual provider Active NPI

David C Mulligan, M.D.

  • Surgery Physician
  • Seattle, WA
National Provider Identifier
1487639449
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD61642153 Issued in WA
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

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MD61642153MedicaidWA
11048751OtherNVCAQH #
25468OtherNVNV LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NV, WA3 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
I20131205000331 CT Practitioner - General SurgeryPractitioner - Vascular SurgeryPractitioner - Other (Physician)Practitioner - Surgical Oncology 0143240911 Reassigns benefits to 1 organization
I20241112001831 NV Practitioner - General Surgery 0143240911 Reassigns benefits to 1 organization
I20250102001135 WA Practitioner - General SurgeryPractitioner - Pediatric MedicinePractitioner - Other (Physician) 0143240911 Reassigns benefits to 2 organizations

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
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
MD61642153WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Current Accepting new patients
Yale University Surgery Current Accepting new patients
Community Care Services LLC CurrentSince Sep 24, 2024 Accepting new patients
Association of CHMC and University Physicians CurrentSince Dec 26, 2024 Accepting new patients
Community Care Services LLC CurrentSince Sep 24, 2024 Accepting new patients
Yale University CurrentSince Sep 1, 2013 Accepting new patients
The Association of University Physicians Surgery CurrentSince Dec 26, 2024 Accepting new patients
Yale University CurrentSince Sep 1, 2013 Accepting new patients
The Association of Chrmc and University Physicians Surgery CurrentSince Dec 26, 2024 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

  • Direct secure messaging: dmulligan407522@direct.seattlechildrens.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.