Individual provider Active NPI

David S Mullen, D.P.M.

  • Podiatrist
  • Wolcott, CT
National Provider Identifier
1821092610
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000766 Issued in CT
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004223715MedicaidCT
030000766CT01OtherCTBLUECROSS AND SHEILD
2V4427OtherHEALTHNET
P2864777OtherOXFORD HEALTH PLANS
00422371500OtherCTBLUECARE FAMILY PLAN
5896507OtherCIGNA HEALTH PLANS
2940733OtherAETNA HEALTH PLANS
076600OtherCONNECTICARE INC
480034412OtherRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090107000625 CT Practitioner - Podiatry 1658434220 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
20.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions71
Removal of nail tissue1300
Removal or shaving of skin growth1284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000766CTMDMarriage & Family Therapist
766CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. McHugh and Associates, P.C. Podiatrist CurrentSince Jul 1, 2002 Accepting new patients
Dr. McHugh and Associates, P.C. Podiatrist CurrentSince Jul 1, 2002 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.

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

Verify at the official NPI Registry.