DR. MATTHEW RYAN MULLOY (MD) – Transplant Surgery Physician, NPI 1639375892

DR. MATTHEW RYAN MULLOY (MD) is a healthcare provider. based in Dallas, Texas. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. N3197 (TX). The NPI Number for DR. MATTHEW RYAN MULLOY (MD) is 1639375892

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW RYAN MULLOY (MD)
NPI
1639375892
Phone
(972) 566-6900
Address
7777 FOREST LN STE B445
Enumeration Date
25 June 2007
Last Update Date
26 May 2016

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8175551212
Graduation Year
2000 (26 years ago)
PAC ID
4082767843
Group Practice PAC ID
6709176654
Professional Enrollment ID
I20090728000193
Address ID
TX761043902FO900XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,644 GENERAL SURGERY in TX

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Provider Addresses for DR. MATTHEW RYAN MULLOY (MD)

  • Forest Lane, Lake Highlands, Audelia, Dallas, Dallas County, Texas, 75243, United States

    DALLAS, TX 752306877

    Phone: (972) 566-6900

    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 2 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Haemonetics Corporation ($103).

Total Amount

$149

General + Research + Ownership

Payments

2

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2009-07-28

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
I20090728000193IGeneral SurgeryTXTBD

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
50360Transplantation of donor kidney2626$0
50323Preparation of donor kidney for transplantation2323$0
View full utilization report →

Insurance plans in this area (ZIP 75230)

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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: 6709176654View full group profile
NameSpecialtyState
General SurgeryNC
Nurse PractitionerTX
Gastroenterology, Internal MedicineLA
Internal MedicinePA
General Surgery, Gastroenterology, Internal MedicineSD
General Surgery, Hematopoietic Cell Transplantation And Cellular TherapyTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
General SurgeryTX

Reviews

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Frequently asked questions

Does DR. MATTHEW RYAN MULLOY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MATTHEW RYAN MULLOY (MD) uses 1639375892.
Does CMS list DR. MATTHEW RYAN MULLOY (MD) as active?
Yes — DR. MATTHEW RYAN MULLOY (MD) is active in the NPI listing used on this page.
What is DR. MATTHEW RYAN MULLOY (MD)'s specialty?
The listing groups DR. MATTHEW RYAN MULLOY (MD) with Transplant Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MATTHEW RYAN MULLOY (MD) on a map?
Expect Dallas, Texas as a primary anchor for DR. MATTHEW RYAN MULLOY (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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