Individual provider Active NPI

Andrew William Mulvey, M.D.

  • Emergency Medicine Physician
  • Macungie, PA
National Provider Identifier
1497774806
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD483514 Issued in PA
Practice address
3369 State Route 100
Macungie, PA 18064-9613
Phone
(610) 402-8111
NPI assigned
Jul 18, 2006
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01050619A IN
Emergency Medicine Physician 207P00000X MD483514 PA Primary

Addresses

Primary practice location

3369 State Route 100
Macungie, PA 18064-9613

Mailing address

6333 S East St
Indianapolis, IN 46227-7107
Phone (317) 783-7474

Other practice location 1

6333 S East St
Indianapolis, IN 46227-7107
Phone (317) 783-7474

Other identifiers 3

IdentifierTypeStateIssuer
000000090521OtherINANTHEM
200256820MedicaidIN
000000365253OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001468 IN Practitioner - Emergency Medicine 5799775011 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD483514PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jun 11, 2024 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Lehigh Valley Physician Group Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Lehigh Valley Physician Group Emergency Medicine CurrentSince Jun 11, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Monticello Emergency Care, LLC Emergency Medicine Past Accepting new patients
Ihc Pleasant Prairie Inpatient Services LLC PastSince Oct 1, 2021 Accepting new patients
Norton - Kings Daughters Health Inc Past Accepting new patients
Wabash Valley Surgical Associates LLC PastSince Jan 1, 2017 Accepting new patients
Epmg Southern Michigan PLLC Emergency Medicine PastSince Jul 1, 2019 Accepting new patients
Hospitalist Physicians Medical Group of Michigan, PC Emergency Medicine PastSince Jan 1, 2019 Accepting new patients
Gottlieb Emergency Physicians LLC Emergency Medicine PastSince Jul 1, 2020 Accepting new patients
Epmg Telemed PLLC PastSince Oct 1, 2021 Accepting new patients
Epmg Western Michigan PLLC Emergency Medicine PastSince Jan 1, 2018 Accepting new patients
Indiana Physician Management-Henry, LLC Emergency Medicine Past Accepting new patients
Kankakee Emergency Physicians LLC Emergency Medicine PastSince Jul 1, 2020 Accepting new patients
Lafayette Emergency Care, P.C. Emergency Medicine Past Accepting new patients
Creek Settlement Inpatient Services LLC PastSince Jan 1, 2017 Accepting new patients
Infinity Healthcare Physicians SC Emergency Medicine PastSince Mar 1, 2019 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2412 E Main St
Plainfield, IN 46168
Phone (317) 204-6800

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2100 Mack Blvd
Fl 4
Allentown, PA 18103

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3369 Route 100
Macungie, PA 18062
Phone (484) 232-6863

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

Interoperability endpoints

  • Direct secure messaging: amulvey866760@direct2.lvhn.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lehigh Valley Hospital MacungieMacungie, PA, CCN 390430 Hospital Corporate Officer Jan 19, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1497774806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 S EAST ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277107",
            "telephone_number": "317-783-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 STATE ROUTE 100",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180649613",
            "telephone_number": "610-402-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6333 S East St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462277107",
            "country_code": "US",
            "telephone_number": "317-783-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01050619A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD483514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000090521",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200256820",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000365253",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macungie, PA

Sources for this page

Verify at the official NPI Registry.