Individual provider Active NPI

Matthew Evans Mullings, CAA

  • Anesthesiologist Assistant
  • Houston, TX
National Provider Identifier
1558897231
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
24570351 Issued in TX
Practice address
7900 Fannin St Ste 1750
Houston, TX 77054-2959
Phone
(713) 790-1349
NPI assigned
May 2, 2017
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X 2017016395 MO
Anesthesiologist Assistant 367H00000X 24570351 TX Primary

Addresses

Primary practice location

7900 Fannin St Ste 1750
Houston, TX 77054-2959

Mailing address

68 S Service Rd Ste 350
Melville, NY 11747-2358
Phone (516) 945-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605001890 TX Practitioner - Anesthesiology Assistant 0547539538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Anesthesia Providers, PLLCGroup PAC ID 4082040878, 164 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

1475 FM 1960 Bypass Rd E
Townsen Memorial Hospital
Humble, TX 77338-3909
Phone (281) 369-9001

7600 Fannin St
Houston, TX 77054-1906
Phone (713) 790-1349

7900 Fannin St
Suite 2300
Houston, TX 77054-2947
Phone (713) 790-1349

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
2017016395MOMDAnesthesiologist Assistant
24570351TXMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physicians Network PLLC CurrentSince Aug 28, 2019 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Nov 12, 2021 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiologist Assistant CurrentSince Nov 12, 2021 Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

7600 Fannin St
Houston, TX 77054
Phone (713) 791-7115

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

7900 Fannin St
Ste 2
Houston, TX 77054
Phone (713) 790-1349

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1558897231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD STE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472358",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 FANNIN ST STE 1750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542959",
            "telephone_number": "713-790-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINGS",
        "first_name": "MATTHEW",
        "middle_name": "EVANS",
        "name_prefix": "Mr.",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "MO",
            "license": "2017016395",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "TX",
            "license": "24570351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.