Individual provider Active NPI

Catherine Marie Mullaly, MD

  • Anesthesiology Physician
  • Boston, MA
National Provider Identifier
1790753499
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
205698 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3002
Phone
(617) 573-3380
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 205698 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3002

Mailing address

243 Charles St
Boston, MA 02114-3002
Phone (617) 573-3380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110128000247 MA Practitioner - Anesthesiology 3476732066 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of Massachusetts LLCGroup PAC ID 3274905906, 9 clinicians

Practice addresses (Care Compare)

243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900

50 Staniford St
Lbby Level
Boston, MA 02114-2544
Phone (617) 723-2015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Professionals, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Physicians of Falmouth Hospital CurrentSince May 6, 2019 Accepting new patients
Steward Medical Group, Inc Anesthesiology CurrentSince Nov 11, 2019 Accepting new patients
JJM Medical Services, PC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
General Hospital Corp Current Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Anesthesiology CurrentSince Jun 1, 2020 Accepting new patients
Springfield Anesthesia Service, Inc. Anesthesiology CurrentSince Oct 5, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Nov 11, 2019 Accepting new patients
Umass Memorial Medical Group Inc Anesthesiology Past Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

800 Huntington Ave
Boston, MA 02115
Phone (617) 525-9544

50 Staniford St
Lbby
Boston, MA 02114
Phone (617) 723-2015

55 Fruit St
#309
Boston, MA 02114
Phone (617) 724-0341

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

243 Charles St
Boston, MA 02114
Phone (617) 523-7900

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

145 West St
Milford, MA 01757
Phone (508) 381-5600

800 Washington St
Norwood, MA 02062
Phone (781) 278-6264

146 Industrial Park Rd
Plymouth, MA 02360
Phone (508) 833-6000

300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

908 Allen St
Springfield, MA 01118
Phone (413) 732-5139

1440 Main St
Waltham, MA 02451
Phone (781) 891-9300

385 Grove St
Worcester, MA 01605
Phone (508) 453-8802

400 10th St E
Waconia, MN 55387

Interoperability endpoints

  • Direct secure messaging: mullaly.catherine.mgh@direct.partners.masshiway.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1790753499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143002",
            "telephone_number": "617-573-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLALY",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "205698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.