ANTONIUS MULIA (M.D.) – Internal Medicine Physician, NPI 1013985977

ANTONIUS MULIA (M.D.) is a healthcare provider. based in Seattle, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD00039455 (WA). The NPI Number for ANTONIUS MULIA (M.D.) is 1013985977

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
ANTONIUS MULIA (M.D.)
NPI
1013985977
Phone
(206) 329-1760
Address
904 7TH AVE
Enumeration Date
8 March 2006
Last Update Date
16 May 2012

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
5294861191
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20100330001087
Address ID
IL600268001GL2600XRDXX300
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

4,056 INTERNAL MEDICINE in WA

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Provider Addresses for ANTONIUS MULIA (M.D.)

  • Kelley Ross Pharmacy, 904, 7th Avenue, Central Business District, First Hill, Seattle, King County, Washington, 98138, United States

    SEATTLE, WA 981041132

    Phone: (206) 329-1760

    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)

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: 2010-03-30

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
I20100330001087IInternal MedicineWATBD

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
36415Insertion of needle into vein for collection of blood sample464237$0
99214Established patient office or other outpatient visit, 30-39 minutes421222$0
80048Blood test, basic group of blood chemicals (calcium, total)377209$0
80061Blood test, lipids (cholesterol and triglycerides)363213$0
84460Liver enzyme (sgpt), level320191$0
View full utilization report →

Insurance plans in this area (ZIP 98104)

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Provider's Procedures

ANTONIUS MULIA (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEWA83036Hemoglobin A1C level345176

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: 9032020490View full group profile

Reviews

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Frequently asked questions

Does ANTONIUS MULIA (M.D.) have a public NPI I can cite?
Public records show ANTONIUS MULIA (M.D.) under NPI 1013985977.
Should I treat ANTONIUS MULIA (M.D.) as an active provider?
Patients and plans typically see ANTONIUS MULIA (M.D.) as active in the national extract.
How should patients interpret ANTONIUS MULIA (M.D.)'s specialty?
The extract shows Internal Medicine Physician for ANTONIUS MULIA (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to ANTONIUS MULIA (M.D.)?
ANTONIUS MULIA (M.D.) shows a connection to Seattle, Washington in registry-derived data.
Why is information missing for ANTONIUS MULIA (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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