CONNOR MULLEN
NPI 1144843434
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

NPI Status: Active since May 21, 2020

Contact Information

4029 AVE MARIA DRIVE
LOBBY A, SUITE 1200
ANN ARBOR, MI
ZIP 48105
Phone: (734) 998-6022

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About CONNOR MULLEN

This page provides the complete NPI Profile along with additional information for Connor Mullen, a primary care provider established in Ann Arbor, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1144843434 assigned on May 2020. The practitioner's primary taxonomy code is 390200000X with license number 4351046235 (MI). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1144843434
Provider Name
CONNOR MULLEN
Gender
Male
Entity Type
Individual
Location Address
4029 AVE MARIA DRIVE LOBBY A, SUITE 1200 ANN ARBOR, MI 48105
Location Phone
(734) 998-6022
Mailing Address
1500 E MEDICAL CENTER DRIVE 2130 TAUBMAN CENTER, SPC 5340 ANN ARBOR, MI 48109
Is Sole Proprietor?
No
Enumeration Date
05-21-2020
Last Update Date
05-21-2020
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A primary care provider (PCP) like Connor Mullen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License No.
4351046235
License State
MI
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Connor Mullen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144843434
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2184164646
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 6 + 4 + 6 + 4 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1144843434 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720570286 MEGAN SCHULTZ MD
Individual
Student in an Organized Health Care Education/Training Program4029 AVE MARIA DRIVE LOBBY A, SUITE 1200
ANN ARBOR, MI 48105
(734) 998-6022
1902460884 CHIEN-WEI WANG MD
Individual
Student in an Organized Health Care Education/Training Program4029 AVE MARIA DRIVE LOBBY A, SUITE 1200
ANN ARBOR, MI 48105
(734) 998-6022
1437713211 WIDYA ADIDHARMA
Individual
Student in an Organized Health Care Education/Training Program4029 AVE MARIA DRIVE LOBBY A, SUITE 1200
ANN ARBOR, MI 48105
(734) 998-6022
1568026441 SHERRY YOUNG TANG MD
Individual
Student in an Organized Health Care Education/Training Program4029 AVE MARIA DRIVE LOBBY A, SUITE 1200
ANN ARBOR, MI 48105
(734) 998-6022
1356963805 ALEXANDRA O'NEIL LUBY MD
Individual
Student in an Organized Health Care Education/Training Program4029 AVE MARIA DRIVE LOBBY A, SUITE 1200
ANN ARBOR, MI 48105
(739) 998-6022
1710552153 CHRISTOPHER BREULER MD
Individual
Student in an Organized Health Care Education/Training Program4029 AVE MARIA DRIVE LOBBY A, SUITE 1200
ANN ARBOR, MI 48105
(734) 998-6022
1093451171 AMIR DEHDASHTIAN MD
Individual
Student in an Organized Health Care Education/Training Program4029 AVE MARIA DRIVE LOBBY A, SUITE 1200
ANN ARBOR, MI 48105
(734) 998-6022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144843434, enumerated in the NPI registry as an "individual" on May 21, 2020

The provider is located at 4029 Ave Maria Drive Lobby A, Suite 1200 Ann Arbor, Mi 48105 and the phone number is (734) 998-6022

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on May 21, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.