DR. TARUN MULLICK (M.D.) – Gastroenterology Physician, NPI 1912906462

DR. TARUN MULLICK (M.D.) is a healthcare provider. based in Kalamazoo, Michigan. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 35.143072 (OH). The NPI Number for DR. TARUN MULLICK (M.D.) is 1912906462

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. TARUN MULLICK (M.D.)
NPI
1912906462
Phone
(269) 276-0000
Address
601 John St Ste M-302
Enumeration Date
18 July 2005
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4807284700
Graduation Year
1996 (30 years ago)
PAC ID
9032161054
Group Practice PAC ID
4486646197
Professional Enrollment ID
I20210426000440
Address ID
AZ852245604CH485XXRDXX401

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
direct@direct.bronsonhg.org
Secure Messaging
tmullick863318@direct.ketteringhealth.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience91
Completeness85
Years active:20State licenses:4Other namesUpdated within 12 months

648 GASTROENTEROLOGY in MI

Provider Addresses for DR. TARUN MULLICK (M.D.)

  • 601 John St Ste M-302

    Kalamazoo, MI 490075357

    Phone: (269) 276-0000

    Type: Location

  • 10600 Montgomery Rd Ste 300

    Montgomery, OH 452424464

    Phone: (513) 794-5600

    Type: Location

  • 425 W Grand Ave Ste 2002

    Dayton, OH 454054722

    Phone: (937) 425-4144

    Type: Location

  • Williamsburg Avenue, Geneva, Kane County, Illinois, 60134, United States

    SUITE 301

    GENEVA, IL 601341101

    Phone: (630) 232-2025

    Fax: (630) 232-2780

    Type: Mailing

  • 485 S DOBSON RD STE 101

    CHANDLER, AZ 852245603

    Phone: (480) 728-4981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $3,097.

Total Amount is formed as General ($3,097) + Research ($0) + Ownership ($0) = $3,097.

Last reported payment date: 2024-03-18 • Largest payer in this snapshot: NESTLE HEALTHCARE NUTRITION INC. ($3,000).

Total Amount

$3,097

General + Research + Ownership

Payments

6

Total payment records

General Amount

$3,097

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-18

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: 2023-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20050217000390IGastroenterologyILTBD
I20210426000440IGastroenterologyAZTBD
I20220210001539IGastroenterologyOHTBD
I20230531001047IGastroenterologyORTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes16118$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes125124$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8145$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope4846$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 49007)

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Provider's Procedures

DR. TARUN MULLICK (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYIL45385Removal of polyps or growths of large bowel using an endoscope5451

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: 4486646197View full group profile
NameSpecialtyState
-AZ
-IL
-AZ
Infectious Disease, Internal MedicineWA
-AZ
Pulmonary Disease, Critical Care (Intensivists)AZ
Diagnostic RadiologyAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Colorectal Surgery (Proctology)AZ

Reviews

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Frequently asked questions

Does DR. TARUN MULLICK (M.D.) have a public NPI I can cite?
Public records show DR. TARUN MULLICK (M.D.) under NPI 1912906462.
Should I treat DR. TARUN MULLICK (M.D.) as an active provider?
Patients and plans typically see DR. TARUN MULLICK (M.D.) as active in the national extract.
Which specialty label fits DR. TARUN MULLICK (M.D.)?
NPPES ties DR. TARUN MULLICK (M.D.) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. TARUN MULLICK (M.D.) tied to Kalamazoo, Michigan?
If you are local to Kalamazoo, Michigan, DR. TARUN MULLICK (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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