Individual provider Active NPI

Jason A Mull, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lexington, KY
National Provider Identifier
1942431366
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
TP570 Issued in KY
Practice address
290 Big Run Rd
Lexington, KY 40503-2903
Phone
(859) 278-9513
Fax
(859) 260-1003
NPI assigned
Aug 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X TP570 KY Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X N3196 TX

Addresses

Primary practice location

290 Big Run Rd
Lexington, KY 40503-2903

Mailing address

290 Big Run Rd
Lexington, KY 40503-2903
Phone (859) 278-9513

Other identifiers 1

IdentifierTypeStateIssuer
7100607430MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmull@pandclab.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090821000525 TX Practitioner - Pathology 4981758133 Reassigns benefits to 1 organization
I20190830001897 KY Practitioner - Pathology 4981758133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chipps, Caffrey and Dubilier, P.S.CGroup PAC ID 4688573900, 19 clinicians

Practice addresses (Care Compare)

290 Big Run Rd
Lexington, KY 40503-2903
Phone (859) 278-9513

299 Kings Daughters Dr
Frankfort, KY 40601-6514
Phone (859) 278-9513

5000 Ky Route 321
Prestonsburg, KY 41653-9113
Phone (859) 278-9513

81 Ball Park Rd
Harlan, KY 40831-1701
Phone (859) 278-9513

Hospital & facility affiliations

  • Saint Joseph Hospital Hospital, Lexington, KY, CCN 180010
  • Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
  • Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
  • Baptist Health Deaconess Madisonville Hospital, Madisonville, KY, CCN 180093

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N3196TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Anatomic Pathology & Clinical Pathology CurrentSince Nov 3, 2010 Accepting new patients
Chipps, Caffrey & Dubilier, P.S.C Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Nov 3, 2010 Accepting new patients

Locations

290 Big Run Rd
Lexington, KY 40503

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 4

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": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1942431366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BIG RUN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032903",
            "telephone_number": "859-278-9513",
            "fax_number": "859-260-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BIG RUN RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032903",
            "telephone_number": "859-278-9513",
            "fax_number": "859-260-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "JASON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "TP570",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "N3196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100607430",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmull@pandclab.com",
            "affiliation": "N",
            "address_1": "290 Big Run Rd",
            "city": "Lexington",
            "state": "KY",
            "country_code": "US",
            "postal_code": "405032903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.