MRINAL MULLICK (M.D.) – Psychiatry Physician, NPI 1174524250

MRINAL MULLICK (M.D.) is a healthcare provider. based in Bowling green, Kentucky. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 35417 (KY). The NPI Number for MRINAL MULLICK (M.D.) is 1174524250

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MRINAL MULLICK (M.D.)
NPI
1174524250
Phone
(270) 843-5103
Address
350 PARK ST
Enumeration Date
10 August 2005
Last Update Date
5 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2708431199
Graduation Year
1993 (33 years ago)
PAC ID
8022133610
Group Practice PAC ID
7810987336
Professional Enrollment ID
I20100920000911
Address ID
KY421039581BO1035XPIKE300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

398 PSYCHIATRY in KY

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Provider Addresses for MRINAL MULLICK (M.D.)

  • Medical Arts Building, 350, Park Street, Bowling Green, Warren County, Kentucky, 42101, United States

    SUITE 204

    BOWLING GREEN, KY 421011784

    Phone: (270) 843-5103

    Fax: (270) 843-5104

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $185.

Total Amount is formed as General ($185) + Research ($0) + Ownership ($0) = $185.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: Corium, LLC ($132).

Total Amount

$185

General + Research + Ownership

Payments

5

Total payment records

General Amount

$185

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-09-20

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
I20100920000911IPsychiatryKYTBD

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 minutes591147$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes316157$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes28638$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8479$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7733$0
View full utilization report →

Insurance plans in this area (ZIP 42101)

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Provider's Procedures

MRINAL MULLICK (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYKY90833Psychotherapy, 30 minutes with patient and/or family member3735

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: 7810987336View full group profile
NameSpecialtyState
-KY
P S Y C H I A T R YKY
P S Y C H I A T R YKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How is MRINAL MULLICK (M.D.) identified in CMS data?
CMS-hosted NPPES data lists MRINAL MULLICK (M.D.) with NPI 1174524250.
Does the file indicate MRINAL MULLICK (M.D.) is practicing under active NPI?
Directory data currently reports MRINAL MULLICK (M.D.) as active.
What taxonomy line describes MRINAL MULLICK (M.D.)?
For research purposes, treat MRINAL MULLICK (M.D.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MRINAL MULLICK (M.D.) list a practice location?
Patients near Bowling Green, Kentucky may find MRINAL MULLICK (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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