Active NPI
William J Mullin, MD
- Diagnostic Radiology Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 36643
- Practice address
- 5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416 - Phone
- (952) 541-1840
- Fax
- (952) 513-6880
- NPI assigned
- Mar 1, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 36643 | MN | Primary |
Addresses
Primary practice location
5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Mailing address
PO Box 1450
NW 6035
Minneapolis, MN 55485-6035
Phone (952) 542-8553
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 091527100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Un of California, Irvine, College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1790 Beam Ave
Maplewood, MN 55109-1162
Phone (651) 294-4639
2270 Ford Pkwy
Suite 202
Saint Paul, MN 55116-3412
Phone (651) 455-5500
2305 108TH LN NE
Blaine, MN 55449-5222
Phone (763) 278-4429
3809 Tantalus Dr
Honolulu, HI 96822-5022
Phone (952) 738-4441
3833 Coon Rapids Blvd NW
Suite 120
Coon Rapids, MN 55433-2599
Phone (763) 433-2000
5775 Wayzata Blvd
St Louis Park, MN 55416-1271
5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840
6025 Lake Rd
Suite 130
Woodbury, MN 55125-1713
Phone (651) 735-1840
675 E Nicollet Blvd
Suite 150
Burnsville, MN 55337-6742
Phone (952) 898-6627
9630 Grove Cir N
Suite 100
Maple Grove, MN 55369-3477
Phone (763) 416-9916
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of the Fox Valley, SC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Cdi Twin Cities ASC LLC | Current | Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Past | Accepting new patients |
| Medical Scanning Consultants, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Past | Accepting new patients |
Locations
1781 Park Center Dr
Ste 110
Orlando, FL 32835
Phone (407) 253-7190
1000 W Broadway St
Ste 140
Oviedo, FL 32765
Phone (407) 359-6001
964 S Orlando Ave
Winter Park, FL 32789
Phone (407) 628-5051
8607 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 569-5855
11900 Pennsylvania St
Ste 100
Carmel, IN 46032
11900 Pennsylvania St
Ste 202
Carmel, IN 46032
Phone (317) 569-5767
10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133
521 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 882-9422
1250 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 899-7980
7151 Marsh Rd
#100
Indianapolis, IN 46278
Phone (317) 580-5880
3738 Landmark Dr
Ste D
Lafayette, IN 47905
Phone (765) 449-7984
13436 Tegler Dr
Ste 400
Noblesville, IN 46060
Phone (317) 569-5777
4313 S 7th St
Terre Haute, IN 47802
Phone (812) 234-0555
9630 Grove Cir N
Ste 100
Maple Grove, MN 55369
Phone (763) 416-9916
5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338
5775 Wayzata Blvd
Ste 400
St Louis Park, MN 55416
Phone (952) 525-6338
33801 1st Way S
Ste 101
Federal Way, WA 98003
Phone (253) 942-7226
7308 Bridgeport Way W
Ste 101
Lakewood, WA 98499
Phone (253) 682-1666
W129N7055 Northfield Dr
Ste 101
Menomonee Falls, WI 53051
Phone (262) 253-5055
2315 E Moreland Blvd
Ste 1500
Waukesha, WI 53186
Phone (262) 646-5199
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
2445 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 774-7226
Organizations & group practices 7
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.
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
MN
-
- Ambulatory Surgical Clinic/Center
- St Louis Park, MN
- NPI 1245207687
-
- Diagnostic Radiology Physician
- Federal Way, WA
- NPI 1730156175
-
- Diagnostic Radiology Physician
- Delray Beach, FL
- NPI 1730125261
-
- Diagnostic Radiology Physician
- Winter Park, FL
- NPI 1871560201
-
- Diagnostic Radiology Physician
- Wauwatosa, WI
- NPI 1811919426
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Special Hospital
- Sioux Falls, SD
- NPI 1316946809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1891762688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1450",
"address_2": "NW 6035",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554856035",
"telephone_number": "952-542-8553",
"fax_number": "952-513-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 WAYZATA BLVD",
"address_2": "STE 190",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "55416",
"telephone_number": "952-541-1840",
"fax_number": "952-513-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "36643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "091527100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.