MR. BRYAN JAMES MULLOOLY (MD) – Anesthesiology Physician, NPI 1619173259

MR. BRYAN JAMES MULLOOLY (MD) is a healthcare provider. based in Oak forest, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 036.126693 (IL). The NPI Number for MR. BRYAN JAMES MULLOOLY (MD) is 1619173259

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRYAN JAMES MULLOOLY (MD)
NPI
1619173259
Phone
(708) 224-7323
Address
6357 CATALINA AVENUE
Enumeration Date
21 June 2007
Last Update Date
23 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8592681030
Graduation Year
2007 (19 years ago)
PAC ID
0042485088
Group Practice PAC ID
9830268671
Professional Enrollment ID
I20111202000513
Address ID
KY402171318LO1XXXXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:18State licenses:3Digital endpointsOther names

393 ANESTHESIOLOGY in AR

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Provider Addresses for MR. BRYAN JAMES MULLOOLY (MD)

  • 6357, Catalina Avenue, Oak Forest, Bremen Township, Cook County, Illinois, 60452, United States

    OAK FOREST, IL 604521733

    Phone: (708) 224-7323

    Type: Mailing

  • University of Arkansas Medical Sciences Medical Center, 4301, West Markham Street, Pulaski Heights, Little Rock, Pulaski County, Arkansas, 72205, United States

    LITTLE ROCK, AR 72207

    Phone: (708) 224-7323

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $257.

Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.

Last reported payment date: 2024-08-17 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($194).

Total Amount

$257

General + Research + Ownership

Payments

4

Total payment records

General Amount

$257

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-17

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2011-12-02

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
I20111202000513IAnesthesiologyKYTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3434$0
00811Anesthesia for other procedure on large bowel using an endoscope2323$0
00520Anesthesia for other closed procedure on chest1313$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope1313$0
01922Anesthesia for x-ray or radiation therapy1111$0
View full utilization report →

Insurance plans in this area (ZIP 60452)

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Provider's Procedures

MR. BRYAN JAMES MULLOOLY (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYAR36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1515
ANESTHESIOLOGYAR76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1616

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: 9830268671View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YAZ
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

What identifier follows MR. BRYAN JAMES MULLOOLY (MD) across health systems?
The NPI 1619173259 uniquely identifies MR. BRYAN JAMES MULLOOLY (MD) in U.S. healthcare data.
Does the public listing show MR. BRYAN JAMES MULLOOLY (MD) as active?
MR. BRYAN JAMES MULLOOLY (MD)'s NPI record reflects an active status in NPPES.
What services align with MR. BRYAN JAMES MULLOOLY (MD)'s listing?
MR. BRYAN JAMES MULLOOLY (MD)'s public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is MR. BRYAN JAMES MULLOOLY (MD) tied to Oak Forest, Illinois?
If you are local to Oak Forest, Illinois, MR. BRYAN JAMES MULLOOLY (MD) may be relevant to your search.
Who maintains MR. BRYAN JAMES MULLOOLY (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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