Individual provider Active NPI

James Byron Mullins, MD

  • Otolaryngology Physician
  • Irving, TX
National Provider Identifier
1598754871
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
K8361 Issued in TX
Practice address
7449 Las Colinas Blvd Ste 100
Irving, TX 75063-7561
Phone
(972) 432-8282
Fax
(972) 432-0552
NPI assigned
Oct 19, 2005
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X K8361 TX Primary
Otolaryngology Physician 207Y00000X C7724 AR

Addresses

Primary practice location

7449 Las Colinas Blvd Ste 100
Irving, TX 75063-7561

Mailing address

7449 Las Colinas Blvd Ste 100
Irving, TX 75063-7561
Phone (972) 432-8282

Other identifiers 4

IdentifierTypeStateIssuer
3670597OtherAETNA MD
5152605OtherPPO
0053LYOtherBCBS
3656845013OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041216000155 TX Practitioner - Otolaryngology 9638136203 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7724ARMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Las Colinas Ear Nose Throat and Allergy PA Otolaryngology CurrentSince Nov 1, 2004 Accepting new patients

Locations

7449 Las Colinas Blvd
Ste 100
Irving, TX 75063
Phone (972) 432-8282

Interoperability endpoints

  • Direct secure messaging: jmullins@direct.uspi.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1598754871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7449 LAS COLINAS BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637561",
            "telephone_number": "972-432-8282",
            "fax_number": "972-432-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7449 LAS COLINAS BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637561",
            "telephone_number": "972-432-8282",
            "fax_number": "972-432-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JAMES",
        "middle_name": "BYRON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "K8361",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "C7724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MD",
            "identifier": "3670597",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO",
            "identifier": "5152605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0053LY",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3656845013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.