John Laird McMullen III, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

93848 Issued in FL

Practice address

801 E Dixie Ave
Suite 104
Leesburg, FL 34748-7699

Phone

(352) 365-2583

Fax

(352) 728-6749

NPI assigned

Jun 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of South Florida College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of Central Florida L L CGroup PAC ID 7214833003, 6 clinicians

Lake Medical Imaging and Breast Center at the Villages LLCGroup PAC ID 0042116865, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290
• Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
• Uf Health Spanish Plaines Rehab Hospital Inpatient rehabilitation facility, The Villages, FL, CCN 10T290

Merit-based Incentive Payment System (MIPS)

Final score

96.22 of 100Reported as group

Quality

95.56

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

96.5 of 100Reported as group

Quality

90

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: jmcmullen562666@direct.shands.ufl.edu

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.

• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1770541633
  Medicare reassignment Care Compare group NPD
• Radiology Associates of Central Florida L L C

  • Diagnostic Radiology Physician
  • Leesburg, FL
  • NPI 1184689127
  Medicare reassignment Care Compare group NPD
• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • The Villages, FL
  • NPI 1912570045
  NPD
• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • The Villages, FL
  • NPI 1366015232
  NPD (past)
• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • The Villages, FL
  • NPI 1659940807
  NPD (past)
• Lake Medical Imaging and Breast Center at the Villages LLC

  • Diagnostic Radiology Physician
  • The Villages, FL
  • NPI 1942879192
  NPD (past)

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

• Leesburg Regional Medical Center Inc

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1245001189

  Hospital

  Care Compare affiliation
• Leesburg Regional Medical Center Inc

  • General Acute Care Hospital
  • Leesburg, FL
  • NPI 1245226190
  Care Compare affiliation
• LRMC Urgent Care Center

  • Urgent Care Clinic/Center
  • Leesburg, FL
  • NPI 1598841389

  Hospital

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  • Rehabilitation Hospital
  • The Villages, FL
  • NPI 1275902124

  Inpatient rehabilitation facility

  Care Compare affiliation
• Villages Tri-County Medical Center Inc.

  • General Acute Care Hospital
  • The Villages, FL
  • NPI 1740276518
  Care Compare affiliation

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

{
    "created_epoch": "1181347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1891998498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N 3RD ST",
            "address_2": "SUITE 115",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485285",
            "telephone_number": "352-365-2583",
            "fax_number": "352-728-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E DIXIE AVE",
            "address_2": "SUITE 104",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347487699",
            "telephone_number": "352-365-2583",
            "fax_number": "352-728-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "JOHN",
        "middle_name": "LAIRD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-09",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "93848",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "ME93848",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "93849",
            "primary": false
        },
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "FL",
            "license": "93848",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000070900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE LMIV",
            "identifier": "P00656356",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE RACF",
            "identifier": "P00656364",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McIver Urological Clinic Pathology
• Kitania McKinnon, IBCLC
• Tiara Alexis McKiver
• Dionne L McKnight, COTA
• Jamaal A McLeod, D.O.
• Shawn McNichol, PA
• William S McPherson, RT
• MD Cardiac Anesthesia and Critical Care PLLC
• Robert T Meade, M.D.
• Sean Meagher, MD

• Vascular & Interventional Radiology Physician in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.