Active NPI
Daniel Joseph Mullen, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 30294
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 699522 | Medicaid | AZ | |
| 3Z3972 | Other | AZ | HEALTHNET |
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
Enrollment records 1
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 Inc
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
- Arizona Orthopedic and Surgical Specialty Hospital
- Arizona Spine and Joint Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.58 of 100
- Quality
- 94.5
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 59.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 56 |
| Knee replacement | 103 |
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mullen Orthopedic Clinic PLC | Sports Medicine | Current | 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
- 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Mesa, AZ
- NPI 1568811644
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
- Orthopaedic Surgery Physician
- Mesa, AZ
- NPI 1336215078
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gilbert, AZ
- NPI 1760449409
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1396745832
-
- Special Hospital
- Phoenix, AZ
- NPI 1124163530
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.