Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mary Mullen, MD

Individual provider Internal Medicine Physician · NPI 1780079186

Dr. Mary Mullen, MD is a Hospitalist in Dayton, Ohio. Graduated from Indiana University School of Medicine in 2015, 11 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
11
Trained at
Indiana University School of Medicine
Licensed in
KY, OH
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

405 W Grand Ave
Dayton, OH 45405-7538
Phone: (937) 723-3276
Fax: (937) 723-3277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 550 S Jackson St Rm A3k00, Louisville, KY 40202-1622 — (502) 852-4277
  • 200 E Chestnut St Ste 303, Louisville, KY 40202-1831 — (502) 629-5552
  • 1 Audubon Plaza Dr, Louisville, KY 40217-1318 — (502) 636-7111

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.146965 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence 52306 (KY)
Hospitalist Physician Taxonomy 208M00000X · Licence 35.146965 (OH)
Pediatrics Physician Taxonomy 208000000X · Licence 52306 (KY)

Record details

NPI number1780079186
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address2002 Oakshade Ct, Crestwood, KY 40014-2000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Also practisesINTERNAL MEDICINE
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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