Thaddeus Mully, M.D.
NPI 1174519607ActiveIndividual· Pathology, Dermatopathology· San Francisco, CA
Pathology, Dermatopathology (M.D.) in San Francisco, California, licensed in CA and NY, with an NPI issued in September 2005. Enrolled in Medicare as practitioner - pathology.
Overview
| NPI | 1174519607 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 20, 2005 |
| Last updated in NPPES | Jul 11, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Dermatopathology Primary | 207ZD0900X | A65484 | CA |
| Dermatology, Dermatopathology | 207ND0900X | 221206 | NY |
| Pathology, Dermatopathology | 207ZD0900X | 221206 | NY |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | A65484 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (CA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Pathology, Dermatopathology providers in San Francisco
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