Active NPI
Heidi McNulty, DO
- Family Medicine Physician
- Davis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A14014
- Practice address
- 2660 W Covell Blvd
Davis, CA 95616-5645 - Phone
- (540) 747-3000
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 10, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A14014 | CA | Primary |
Addresses
Primary practice location
2660 W Covell Blvd
Davis, CA 95616-5645
Mailing address
2440 W Covell Blvd
Davis, CA 95616-5671
Phone (530) 747-3095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3160 Folsom Blvd
Suite 2500
Sacramento, CA 95816-5267
Phone (916) 734-7777
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14014 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| US Dept of HHS | Family Medicine | Past | Accepting new patients |
| Essent PRMC LP | Past | Accepting new patients |
Locations
7551 Madison Ave
Citrus Hts, CA 95610
Phone (916) 904-3000
2440 W Covell Blvd
Davis, CA 95616
Phone (530) 668-2646
2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000
1535 River Park Dr
Ste 2000
Sacramento, CA 95815
Phone (916) 286-1010
3160 Folsom Blvd
Ste 2500
Sacramento, CA 95816
Phone (916) 734-5846
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UC Davis Medical Group
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Multi-Specialty Clinic/Center
- Davis, CA
- NPI 1912987553
-
dba Paris Regional Medical Center
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
-
dba Lame Deer Health Center
- Clinic/Center
- Lame Deer, MT
- NPI 1053487991
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625875200000",
"number": "1770672859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 W COVELL BLVD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165671",
"telephone_number": "530-747-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 W COVELL BLVD",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165645",
"telephone_number": "540-747-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNULTY",
"first_name": "HEIDI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2021-07-10",
"certification_date": "2021-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A14014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2021; 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.