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NPI · 1366462046 · NPPES-sourced

Timothy Mullally DO

ActiveSports Medicine (Family Medicine) Physician
NPI Number
1366462046
Type 1 · Individual
Contact
(219) 779-8735
License IN · 02003099A
Last Updated
Enumerated
Primary practice addressIN · 46307-7812
11275 Delaware PkwyCrown Point, IN 46307-7812
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About this NPIWhat this record shows.

NPI 1366462046 is registered to Timothy Mullally DO, a Sports Medicine (Family Medicine) Physician practising at 11275 Delaware Pkwy in Crown Point, Indiana. Sports Medicine (Family Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Timothy Mullally DO has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Timothy Mullally DO accepts. To confirm in-network status with your specific health plan, contact Timothy Mullally DO directly at (219) 779-8735.

Frequently asked

Yes. NPI 1366462046 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Sports Medicine (Family Medicine) Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (219) 779-8735.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Timothy Mullally DO is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207QS0010X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
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