Active NPI
David S Mullen, D.P.M.
- Podiatrist
- Wolcott, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 000766
- Practice address
- 464 Wolcott Rd
Wolcott, CT 06716-2626 - Phone
- (203) 879-3646
- Fax
- (203) 879-7191
- NPI assigned
- Jun 9, 2005
- Last updated
- Sep 12, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 000766 | CT | Primary |
Addresses
Primary practice location
464 Wolcott Rd
Wolcott, CT 06716-2626
Mailing address
777 Echo Lake Rd Unit F
Watertown, CT 06795-6618
Phone (860) 274-1773
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004223715 | Medicaid | CT | |
| 030000766CT01 | Other | CT | BLUECROSS AND SHEILD |
| 2V4427 | Other | HEALTHNET | |
| P2864777 | Other | OXFORD HEALTH PLANS | |
| 00422371500 | Other | CT | BLUECARE FAMILY PLAN |
| 5896507 | Other | CIGNA HEALTH PLANS | |
| 2940733 | Other | AETNA HEALTH PLANS | |
| 076600 | Other | CONNECTICARE INC | |
| 480034412 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
503 Wolcott Rd
Suite 3
Wolcott, CT 06716-2673
Phone (203) 879-3646
777 Echo Lake Rd
Unit F
Watertown, CT 06795-6618
Phone (860) 274-1773
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.27 of 100
- Quality
- 20.79
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 71 |
| Removal of nail tissue | 1300 |
| Removal or shaving of skin growth | 1284 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000766 | CT | MD | Marriage & Family Therapist |
| 766 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. McHugh and Associates, P.C. | Podiatrist | Current | Accepting new patients |
| Dr. McHugh and Associates, P.C. | Podiatrist | Current | Accepting new patients |
Locations
777 Echo Lake Rd
Unit F
Watertown, CT 06795
Phone (860) 274-1773
464 Wolcott Rd
Wolcott, CT 06716
Phone (203) 633-4560
503 Wolcott Rd
Ste 3
Wolcott, CT 06716
Phone (203) 879-3646
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.
-
- Podiatrist
- Watertown, CT
- NPI 1942204797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1821092610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 ECHO LAKE RD UNIT F",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067956618",
"telephone_number": "860-274-1773",
"fax_number": "860-945-6820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 WOLCOTT RD",
"city": "WOLCOTT",
"state": "CT",
"postal_code": "067162626",
"telephone_number": "203-879-3646",
"fax_number": "203-879-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CT",
"license": "000766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004223715",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS AND SHEILD",
"identifier": "030000766CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V4427",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLANS",
"identifier": "P2864777",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE FAMILY PLAN",
"identifier": "00422371500",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTH PLANS",
"identifier": "5896507",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH PLANS",
"identifier": "2940733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE INC",
"identifier": "076600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480034412",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wolcott, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.