Active NPI
Brian E Mulkerin, MD
- Anesthesiology Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 30425
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 779-3366
- NPI assigned
- Sep 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 30425 | AZ | Primary |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 213-6235
Other practice location 1
3390 N Campbell Ave
Ste 110
Tucson, AZ 85719-2380
Phone (520) 795-7650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Connecticut School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2220 E Orange Grove Rd
Tucson, AZ 85741-3117
Phone (480) 420-4027
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Eye Specialists,PLLC | Current | Accepting new patients | |
| Ascend Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Partners & Management LLC | Anesthesiology | Current | Accepting new patients |
| Northwest Eye Specialists L L C | Current | Accepting new patients |
Locations
1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300
103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200
1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080
3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185
5430 Distinction Way
Prescott, AZ 86301
Phone (928) 445-1919
8500 N Oracle Rd
Ste 150
Tucson, AZ 85704
Phone (520) 405-4413
3935 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 260-0450
5599 N Oracle Rd
Tucson, AZ 85704
Phone (520) 293-6740
2220 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 877-5660
1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185
1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Certified Registered Nurse Anesthetist
- Brighton, MI
- NPI 1336530997
Anesthesiology, AZ
-
- Ambulatory Surgical Clinic/Center
- Tucson, AZ
- NPI 1790822864
-
- Eyewear Supplier
- Tucson, AZ
- NPI 1790822526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1528052560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-213-6235",
"fax_number": "928-213-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-779-3366"
}
],
"practiceLocations": [
{
"address_1": "3390 N Campbell Ave",
"address_2": "STE 110",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857192380",
"country_code": "US",
"telephone_number": "520-795-7650",
"fax_number": "520-325-1622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULKERIN",
"first_name": "BRIAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "30425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.