Look up the most recent NPI and PECOS records

Kevin D Mullen

Internal Medicine

Allopathic & Osteopathic Physicians

2500 Metrohealth Dr, Mhmc-Medicine/Gastroenterology, Cleveland, OH 44109-1900

PECOS Enrollment

Based on the most recent information from CMS, provider Kevin D Mullen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:20 AM.

Profile Details

Provider ID
1639276298
Provider Type
Individual
Full Name
Mullen, Kevin D
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
9/17/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2500 Metrohealth Dr, Mhmc-Medicine/Gastroenterology, Cleveland, OH 44109-1900

(216) 778-5736

Unlisted Fax

Mailing Location

2500 Metrohealth Dr, Mhmc-Medicine/Gastroenterology, Cleveland, OH 44109-1900

(216) 778-5736

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 35046459 Ohio

Provider Identifiers

ID	Description	Issuer
ID 0640275	Description Medicaid	Issuer Unlisted Ohio

Kevin D Mullen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Wolfe, Michael

Asaad, Imad

Kyprianou, Annette M

Ferguson, Roy D

Chitsaz, Ehsan

Kurin, Michael

Shah, Bhavesh

Abdallah, Jason Elie

Fass, Ronnie

Feldman, Edward S