Individual provider Active NPI

Daniel Joseph Mullen, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Mesa, AZ
National Provider Identifier
1891736435
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
30294 Issued in AZ
Practice address
4852 E Baseline Rd
#C-107
Mesa, AZ 85206-4627
Phone
(480) 834-7000
Fax
(480) 834-7002
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 30294 AZ Primary

Addresses

Primary practice location

4852 E Baseline Rd
#C-107
Mesa, AZ 85206-4627

Mailing address

4852 E Baseline Rd
Ste 107
Mesa, AZ 85206-4628
Phone (480) 834-7000

Other identifiers 2

IdentifierTypeStateIssuer
699522MedicaidAZ
3Z3972OtherAZHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040901000441 AZ Practitioner - Orthopedic Surgery 8921073032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Mullen Orthopedic Clinic PLCGroup PAC ID 1850685660, 3 clinicians

Practice addresses (Care Compare)

2303 N Augusta St
Suite E
Staunton, VA 24401-2597
Phone (540) 886-4510

4852 E Baseline Rd
Suite 107
Mesa, AZ 85206-4628
Phone (480) 834-7000

Hospital & facility affiliations

  • Sunrise Health Services Home health agency, Mesa, AZ, CCN 037226
  • Arizona Orthopedic and Surgical Specialty Hospital Hospital, Phoenix, AZ, CCN 030112
  • Arizona Spine and Joint Hospital Hospital, Mesa, AZ, CCN 030107

Merit-based Incentive Payment System (MIPS)

Final score
85.58 of 100Reported as group
Quality
94.5
Promoting interoperability
98
Improvement activities
40
Cost
59.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement56
Knee replacement103
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mullen Orthopedic Clinic PLC Sports Medicine CurrentSince Jun 20, 2016 Accepting new patients
Arizona Spine and Joint Hospital LLC Current Accepting new patients
Mezona Orthopaedic PA Orthopaedic Surgery Past Accepting new patients

Locations

4852 E Baseline Rd
Ste 107
Mesa, AZ 85206
Phone (480) 834-7000

4852 E Baseline Rd
Ste C107
Mesa, AZ 85206
Phone (480) 834-7000

Interoperability endpoints

  • Direct secure messaging: danielmullen@asjh.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1891736435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4852 E BASELINE RD",
            "address_2": "STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064628",
            "telephone_number": "480-834-7000",
            "fax_number": "480-834-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 E BASELINE RD",
            "address_2": "#C-107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064627",
            "telephone_number": "480-834-7000",
            "fax_number": "480-834-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AZ",
            "license": "30294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699522",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3Z3972",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.