Active NPI
Timothy John Mulry, D.O.
- Sports Medicine (Orthopaedic Surgery) Physician
- Bay Shore, NY
National Provider Identifier
1649690868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 282436
- Practice address
- 217 E Main St
Bay Shore, NY 11706-8407 - Phone
- (631) 647-3800
- NPI assigned
- Apr 27, 2014
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 282436 | NY | Primary |
Addresses
Primary practice location
217 E Main St
Bay Shore, NY 11706-8407
Mailing address
217 E Main St
Bay Shore, NY 11706-8407
Phone (631) 647-3800
Other practice location 1
200 West Main St
Babylon, NY 11702
Phone (631) 539-5700
Other practice location 2
46 Brentwood Rd
Bay Shore, NY 11706-6924
Phone (631) 647-3800
Other practice location 3
301 E Main St
Bay Shore, NY 11706-8458
Phone (631) 968-3000
Other practice location 4
53 Brentwood Rd Ste F
Bay Shore, NY 11706-6943
Phone (631) 647-5550
Other practice location 5
1895 Walt Whitman Rd Ste 10
Melville, NY 11747-3031
Phone (631) 293-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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
- Orthopedic Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 E Middle Country Rd
Suite 340
Smithtown, NY 11787-2814
Phone (718) 470-7550
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Services of Kips Bay PC | Sports Medicine | Past | Accepting new patients |
| South Shore University Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- timothymulry@nslijmedgr.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Orthopaedic Surgery Physician
- Garden City, NY
- NPI 1629671185
Sports Medicine
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Bay Shore, NY
- NPI 1457369381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1649690868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068407",
"telephone_number": "631-647-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 E MAIN ST",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117068407",
"telephone_number": "631-647-3800"
}
],
"practiceLocations": [
{
"address_1": "200 West Main St",
"address_purpose": "LOCATION",
"city": "Babylon",
"state": "NY",
"postal_code": "11702",
"country_code": "US",
"telephone_number": "631-539-5700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46 Brentwood Rd",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117066924",
"country_code": "US",
"telephone_number": "631-647-3800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 E Main St",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117068458",
"country_code": "US",
"telephone_number": "631-968-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "53 Brentwood Rd Ste F",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117066943",
"country_code": "US",
"telephone_number": "631-647-5550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1895 Walt Whitman Rd Ste 10",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117473031",
"country_code": "US",
"telephone_number": "631-293-9700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULRY",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-27",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "282436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.