ROBERT DAVID MULLEN (M.D.) – Internal Medicine Physician, NPI 1003905217

ROBERT DAVID MULLEN (M.D.) is a healthcare provider. based in Portland, Oregon. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD13715 (OR). The NPI Number for ROBERT DAVID MULLEN (M.D.) is 1003905217

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT DAVID MULLEN (M.D.)
NPI
1003905217
Phone
(503) 413-2200
Address
2801 N Gantenbein Ave
Enumeration Date
12 October 2006
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032151111
Graduation Year
1982 (44 years ago)
PAC ID
9436258746
Group Practice PAC ID
5395656284
Professional Enrollment ID
I20070627000679
Address ID
OR972132933PO4805XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

2,474 INTERNAL MEDICINE in OR

Provider Addresses for ROBERT DAVID MULLEN (M.D.)

  • 2801 N Gantenbein Ave

    Portland, OR 972271623

    Phone: (503) 413-2200

    Type: Location

  • 5050 NE Hoyt St Ste 203

    Portland, OR 972132956

    Phone: (503) 975-0344

    Type: Location

  • 5635, Northeast Alameda Street, Rose City Park, Portland, Multnomah County, Oregon, 97213, United States

    PORTLAND, OR 972133421

    Phone: (503) 282-0979

    Type: Mailing

  • 2226 NE 31ST AVE

    PORTLAND, OR 972125101

    Phone: (503) 975-0344

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-06-27

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
I20070627000679IInternal MedicineORTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only463355$0
View full utilization report →

Insurance plans in this area (ZIP 97227)

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Provider's Procedures

ROBERT DAVID MULLEN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEOR81002Urinalysis, manual test1513
INTERNAL MEDICINEOR93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report633471

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: 5395656284View full group profile
NameSpecialtyState
Pulmonary DiseaseOR
Nurse PractitionerOR
Hematology, Medical OncologyWI
P A T H O L O G YOR
Nurse PractitionerOR
Internal MedicineOR
-OR
P A T H O L O G YPA
P A T H O L O G YOR
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant CardiologyWA

Reviews

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Frequently asked questions

What identifier follows ROBERT DAVID MULLEN (M.D.) across health systems?
The NPI 1003905217 uniquely identifies ROBERT DAVID MULLEN (M.D.) in U.S. healthcare data.
Should I treat ROBERT DAVID MULLEN (M.D.) as an active provider?
Patients and plans typically see ROBERT DAVID MULLEN (M.D.) as active in the national extract.
What services align with ROBERT DAVID MULLEN (M.D.)'s listing?
ROBERT DAVID MULLEN (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ROBERT DAVID MULLEN (M.D.)?
ROBERT DAVID MULLEN (M.D.) is associated with Portland, Oregon in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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