Individual provider Active NPI

John Mulvey, MD

  • Family Medicine Physician
  • Elkton, MD
National Provider Identifier
1902863509
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0045155 Issued in MD
Practice address
104 W Main St
Elkton, MD 21921-5509
Phone
(410) 996-8990
Fax
(410) 996-8912
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10004236 DE
Family Medicine Physician 207Q00000X D0045155 MD Primary

Addresses

Primary practice location

104 W Main St
Elkton, MD 21921-5509

Mailing address

104 W Main St
Elkton, MD 21921-5509
Phone (410) 996-8990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100414000329 MD Practitioner - Family Practice 5698724987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

104 W Main St
Elkton, MD 21921-5509

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Elkton, MD, CCN 217151
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C10004236DEMDFamily Medicine Physician
D0045155MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Union Hospital of Cecil County CurrentSince Dec 1, 2021 Accepting new patients
John R. Mulvey M.D., P.a. Family Medicine CurrentSince Sep 1, 1993 Accepting new patients

Locations

104 W Main St
Elkton, MD 21921
Phone (410) 996-8990

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

104 W Main St
#1
Elkton, MD 21921
Phone (410) 996-8990

Interoperability endpoints

  • Direct secure messaging: john.mulvey@mfp-md.direct.office.nextgen.com

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 7

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1902863509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215509",
            "telephone_number": "410-996-8990",
            "fax_number": "410-996-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W MAIN ST",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215509",
            "telephone_number": "410-996-8990",
            "fax_number": "410-996-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10004236",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0045155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.