Individual provider Active NPI

Tiffany M Mullin, M.D.

  • Gynecology Physician
  • Katy, TX
National Provider Identifier
1689610867
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
M3333 Issued in TX
Practice address
21700 Kingsland Blvd
Suite 201
Katy, TX 77450-2513
Phone
(281) 398-8639
Fax
(281) 398-5019
NPI assigned
Jun 22, 2006
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X M3333 TX Primary

Addresses

Primary practice location

21700 Kingsland Blvd
Suite 201
Katy, TX 77450-2513

Mailing address

21700 Kingsland Blvd
Suite 202
Katy, TX 77450-2513
Phone (281) 398-8639

Other identifiers 1

IdentifierTypeStateIssuer
183049901MedicaidTX

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
I20061030000134 TX Practitioner - Obstetrics/Gynecology 7911904289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Colleagues of Texas LLPGroup PAC ID 5597700203, 12 clinicians

Practice addresses (Care Compare)

21700 Kingsland Blvd
Suite 201
Katy, TX 77450-2547
Phone (281) 398-7954

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William a Currie MD PA Current Accepting new patients

Locations

21700 Kingsland Blvd
Ste 201
Katy, TX 77450
Phone (281) 398-7954

21700 Kingsland Blvd
Ste 202
Katy, TX 77450
Phone (281) 398-8639

Organizations & group practices 2

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1689610867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD",
            "address_2": "SUITE 202",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502513",
            "telephone_number": "281-398-8639",
            "fax_number": "281-398-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD",
            "address_2": "SUITE 201",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502513",
            "telephone_number": "281-398-8639",
            "fax_number": "281-398-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "M3333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183049901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.