NPI Details
Timothy James Mullally, DO is a sports medicine family medicine in Crown Point, IN with 24 years of experience. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Timothy James Mullally, DO NPI is 1366462046. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:2002
The provider's business location address is:
11275 DELAWARE PKWY
CROWN POINT, IN
ZIP 46307-812
Phone: (219) 779-8735
Fax: (877) 715-2312
The NPI 1366462046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg (HCPCS:J7318)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Ultrasonic guidance for needle placement (HCPCS:76942)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Assessment of emotional or behavioral problems (HCPCS:96127)
- Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
- X-ray of chest, 2 views (HCPCS:71046)
- X-ray of knee, 4 or more views (HCPCS:73564)
- Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg (HCPCS:J7613)
- Urinalysis, manual test (HCPCS:81002)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
- Removal of impacted ear wax by washing (HCPCS:69209)
- X-ray of hip, 2-3 views (HCPCS:73502)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
- X-ray of abdomen, 1 view (HCPCS:74018)
- Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- X-ray of foot, minimum of 3 views (HCPCS:73630)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 7/19/2006 and was last updated on 3/25/2019.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 02003099A | INDIANA | No |
| 2 | 207QS0010X | Family Medicine | Sports Medicine | 02003099A | INDIANA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 200829740 | MEDICAID | INDIANA | |
