Individual provider Active NPI

Gina P Mullen, MD

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1497049654
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q0999 Issued in TX
Practice address
13737 Noel Rd
Suite 1600
Dallas, TX 75240
Phone
(800) 362-2731
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X GA
Emergency Medicine Physician 207P00000X Q0999 TX Primary

Addresses

Primary practice location

13737 Noel Rd
Suite 1600
Dallas, TX 75240

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice location 1

13737 Noel Rd
Suite 1600
Dallas, TX 75240
Phone (800) 362-2731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140827001589 TX Practitioner - Emergency Medicine 4183842511 Reassigns benefits to 3 organizations
I20251112004440 OK Practitioner - Emergency Medicine 4183842511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4835 LBJ Fwy
Suite 900
Dallas, TX 75244

8 Oak Park Dr
Bedford, MA 01730-1414

PO Box
Indianapolis, IN 46206

Merit-based Incentive Payment System (MIPS)

Final score
56.11 of 100Reported as group
Quality
50.63
Improvement activities
40
Cost
27.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q0999TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ies Carrollton PLLC Emergency Medicine CurrentSince Mar 1, 2020 Accepting new patients
Integrative Emergency Services Physician Group PA Emergency Medicine CurrentSince Jul 13, 2015 Accepting new patients
Century Integrated Partners, Inc Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Dispatchhealth-Texas P a Emergency Medicine CurrentSince Nov 18, 2020 Accepting new patients

Locations

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

3500 Gaston Ave
Dallas, TX 75246

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

211 Highland Cross Dr
Houston, TX 77073
Phone (713) 422-2920

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

2201 N Central Expy
Ste 125
Richardson, TX 75080
Phone (214) 377-1790

7560 Glenview Dr
Ste 100
Richland Hills, TX 76180
Phone (817) 435-1970

1405 W Jefferson St
Waxahachie, TX 75165
Phone (972) 875-9000

Interoperability endpoints

  • Direct secure messaging: gina.porter.1@13869.direct.athenahealth.com

Organizations & group practices 5

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1497049654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "SUITE 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "800-362-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13737 Noel Rd",
            "address_2": "Suite 1600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75240",
            "country_code": "US",
            "telephone_number": "800-362-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "GINA",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q0999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.