Individual provider Active NPI

Julie A Mullen, D.O.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1659395572
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02675 Issued in KY
Practice address
4440 Red Bank Rd Ste 110
Cincinnati, OH 45227-2177
Phone
(513) 564-1366
Fax
(513) 831-5985
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-6786 OH
Family Medicine Physician 207Q00000X 02675 KY Primary

Addresses

Primary practice location

4440 Red Bank Rd Ste 110
Cincinnati, OH 45227-2177

Mailing address

44 W Lakeside Ave
Lakeside Park, KY 41017-2108
Phone (859) 426-7359

Other practice location 1

1955 Dixie Hwy Ste F
Ft Wright, KY 41011-2882
Phone (859) 292-9776

Other practice location 2

6560 Harrison Ave
Cincinnati, OH 45247-7823
Phone (513) 574-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240127000116 OH Practitioner - Family Practice 4981695020 Reassigns benefits to 1 organization
I20240219000761 KY Practitioner - Family Practice 4981695020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Christ Hospital Health Network Urgent Care, LLCGroup PAC ID 9931388246, 16 clinicians

Practice addresses (Care Compare)

1955 Dixie Hwy
Suite F
Ft Wright, KY 41011-2882
Phone (859) 292-9176

6560 Harrison Ave
Cincinnati, OH 45247-7823
Phone (513) 574-9700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.46 of 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
77.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02675KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CG Medical Associates Inc Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
The Christ Hospital Health Network Urgent Care, LLC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
The Christ Hospital Medical Associates, LLC Family Medicine PastSince Jan 1, 2024 Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients

Locations

650 Sprucewood Ln
Erlanger, KY 41018
Phone (859) 282-6600

1955 Dixie Hwy
Ste F
Ft Wright, KY 41011
Phone (859) 292-9176

5920 Colerain Ave
Cincinnati, OH 45239
Phone (513) 741-7044

2139 Auburn Ave
#47
Cincinnati, OH 45219

4440 Red Bank Rd
Ste 110
Cincinnati, OH 45227
Phone (513) 564-1366

6560 Harrison Ave
Cincinnati, OH 45247
Phone (513) 564-1366

5915 N Main St
Dayton, OH 45415
Phone (937) 278-3826

2131 Gateway Dr
Fairborn, OH 45324
Phone (937) 873-9500

3604 Wilmington Pike
Kettering, OH 45429
Phone (937) 294-0066

3290 Village Dr
Middletown, OH 45005
Phone (513) 422-7703

360 Glensprings Dr
Springdale, OH 45246
Phone (513) 671-5050

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.

Hospital & facility affiliations 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1659395572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 W LAKESIDE AVE",
            "city": "LAKESIDE PARK",
            "state": "KY",
            "postal_code": "410172108",
            "telephone_number": "859-426-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 RED BANK RD STE 110",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272177",
            "telephone_number": "513-564-1366",
            "fax_number": "513-831-5985"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 Dixie Hwy Ste F",
            "address_purpose": "LOCATION",
            "city": "Ft Wright",
            "state": "KY",
            "postal_code": "410112882",
            "country_code": "US",
            "telephone_number": "859-292-9776",
            "fax_number": "859-292-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6560 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477823",
            "country_code": "US",
            "telephone_number": "513-574-9700",
            "fax_number": "513-874-9708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "JULIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-6786",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.