DR. MICHAEL RUSSELL MULLANE – Medical Oncology Physician, NPI 1386665081

DR. MICHAEL RUSSELL MULLANE is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE, MEDICAL ONCOLOGY. They hold a License No. 036-068847 (IL). The NPI Number for DR. MICHAEL RUSSELL MULLANE is 1386665081

Main info

Male
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL RUSSELL MULLANE
NPI
1386665081
Phone
(312) 864-7194
Address
1900 W POLK ST
Enumeration Date
21 July 2006
Last Update Date
27 April 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3125722000
Graduation Year
1982 (44 years ago)
PAC ID
1153503503
Group Practice PAC ID
2860398088
Professional Enrollment ID
I20110307000912
Address ID
IL606152494CH500XXSTXX400

Contacts

Secure Messaging
mmullane@direct.ccprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

8,824 INTERNAL MEDICINE in IL

Loading map...

Provider Addresses for DR. MICHAEL RUSSELL MULLANE

  • 1900, West Polk Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    ROOM 765

    CHICAGO, IL 606123723

    Phone: (312) 864-7194

    Fax: (312) 864-9002

    Type: Location

  • 374, Bartram Road, Riverside, Riverside Township, Cook County, Illinois, 60546, United States

    RIVERSIDE, IL 605461885

    Phone: (312) 864-7194

    Fax: (312) 864-9002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Genentech USA, Inc. ($89).

Total Amount

$319

General + Research + Ownership

Payments

13

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110307000912IInternal MedicineILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes15865$0
99213Established patient office or other outpatient visit, 20-29 minutes4836$0
View full utilization report →

Insurance plans in this area (ZIP 60612)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860398088View full group profile
NameSpecialtyState
O P H T H A L M O L O G YIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)MA
-IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
-IL
A N E S T H E S I O L O G YIL
Physician AssistantIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DR. MICHAEL RUSSELL MULLANE have a public NPI I can cite?
Public records show DR. MICHAEL RUSSELL MULLANE under NPI 1386665081.
Does the public listing show DR. MICHAEL RUSSELL MULLANE as active?
DR. MICHAEL RUSSELL MULLANE's NPI record reflects an active status in NPPES.
What services align with DR. MICHAEL RUSSELL MULLANE's listing?
DR. MICHAEL RUSSELL MULLANE's public classification highlights Medical Oncology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MICHAEL RUSSELL MULLANE?
DR. MICHAEL RUSSELL MULLANE shows a connection to Chicago, Illinois in registry-derived data.
Who maintains DR. MICHAEL RUSSELL MULLANE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

5841 S MARYLAND AVE
NPI: 1598767733

PRASHANT KUMAR JOSHI (M.D.)

Medical Oncology Physician
25070 NETWORK PL
NPI: 1316946890

DR. HECTOR ALEJANDRO PRETI (M.D.)

Hematology & Oncology Physician
7777 FOREST LN
NPI: 1861484628

DR. HELEN J ROSS (MD)

Hematology & Oncology Physician
1725 W HARRISON ST STE 1010
NPI: 1841282159

ROBERT W MANDAL (MD)

Medical Oncology Physician
1710, Randall Road, Elgin, Kane County, Illinois, 60123, United States
NPI: 1124012901

MRS. ANN E KINNEALEY (MD)

Medical Oncology Physician
Swedish Covenant Professional Plaza, 2740-2760, West Foster Avenue, Budlong Woods, Lincoln Square, Chicago, Jefferson Township, Cook County, Illinois, 60625, United States
NPI: 1205821857

JASON J SUH (MD)

Hematology & Oncology Physician
2614, West Jefferson Street, Joliet, Troy Township, Will County, Illinois, 60435, United States
NPI: 1225024722

DR. ALFRED O GRECO (MD)

Medical Oncology Physician
4000, North Illinois Lane, Swansea, Saint Clair County, Illinois, 62226, United States
NPI: 1073501607