Active NPI
Samantha Mullan, MD
- Maternal & Fetal Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 35.141231
- Practice address
- 375 Dixmyth Ave Ste 867.2
Cincinnati, OH 45220-2475 - Phone
- (513) 862-6200
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 55023 | KY | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2018011076 | MO | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 01088094A | IN | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 35.141231 | OH | Primary |
Addresses
Primary practice location
375 Dixmyth Ave Ste 867.2
Cincinnati, OH 45220-2475
Mailing address
4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (132) 461-9645
Other practice location 1
6420 Clayton Rd Ste 2701
Saint Louis, MO 63117-1811
Phone (314) 768-3635
Other practice location 2
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2445
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smullan258014@direct-ehr-ssmhc.com | ||
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2237
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (859) 301-2465
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55023 | KY | MD | Maternal & Fetal Medicine Physician |
| 35.141231 | OH | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth H LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth G LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
| Christ Hospital Medical Specialists LLC | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| The Good Samaritan Hospital of Cincinnati, Ohio | Past | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients | |
| Trihealth G LLC | Past | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
2123 Auburn Ave
Ste 120
Cincinnati, OH 45219
Phone (513) 245-3113
375 Dixmyth Ave
Ste 8672
Cincinnati, OH 45220
Phone (513) 862-6200
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
375 Dixmyth Ave
Ste 86720
Cincinnati, OH 45220
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
10506 Montgomery Rd
Ste 401B
Montgomery, OH 45242
Interoperability endpoints
- smullan132960@direct.trihealth.com
Organizations & group practices 9
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
- Cincinnati, OH
- NPI 1124341649
-
- Community/Retail Pharmacy
- Cincinnati, OH
- NPI 1184023640
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- Internal Medicine Physician
- Cincinnati, OH
- NPI 1336242726
-
- Nurse Practitioner
- Cincinnati, OH
- NPI 1922051697
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1699185652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123397",
"telephone_number": "132-461-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 DIXMYTH AVE STE 867.2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-862-6200"
}
],
"practiceLocations": [
{
"address_1": "6420 Clayton Rd Ste 2701",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631171811",
"country_code": "US",
"telephone_number": "314-768-3635",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Village Dr",
"address_purpose": "LOCATION",
"city": "Edgewood",
"state": "KY",
"postal_code": "410173403",
"country_code": "US",
"telephone_number": "859-301-2445",
"fax_number": "859-344-5552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULLAN",
"first_name": "SAMANTHA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "KY",
"license": "55023",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MO",
"license": "2018011076",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IN",
"license": "01088094A",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "OH",
"license": "35.141231",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smullan258014@direct-ehr-ssmhc.com",
"affiliation": "N",
"address_1": "6420 Clayton Rd Ste 2701",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631171811",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1223 E Main St",
"city": "Perry",
"state": "MO",
"country_code": "US",
"postal_code": "634621410",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.