Kathleen A Mulligan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35066003 Issued in OH

Practice address

1991 Crocker Rd
Suite 310
Westlake, OH 44145-6969

Phone

(440) 617-9114

Fax

(440) 617-9058

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Dermatology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Westshore Dermatology IncGroup PAC ID 2163569690, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.82 of 100Reported as group

Quality

99.63

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmulligan37440@ehrdirect.uhhospitals.org
• Direct secure messaging: kathleenmulliganmd.kathleenmulligan@118356.advancedmd-direct.com

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.

• Westshore Dermatology Inc

  • Dermatology Physician
  • Westlake, OH
  • NPI 1831295526
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1659320398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD STE 310",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456971",
            "telephone_number": "440-617-9114",
            "fax_number": "440-617-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 CROCKER RD",
            "address_2": "SUITE 310",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456969",
            "telephone_number": "440-617-9114",
            "fax_number": "440-617-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "OH",
            "license": "35066003",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "OH",
            "license": "35066003",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35066003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000254178",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "070017696",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0839961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn J Mueller, OT
• Ismail B Muhammad
• Muhammed H. Zahra, MD
• Matthew Mullen
• Mulligan Dermatology, Inc
• Shanyece Mungin, RBT
• Enaam N Muntaser, FNP
• Myar Muntaser
• Sarah Munteanu
• Deborah Anne Murdell, CNP

• Dermatology Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.

Verify at the official NPI Registry.