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Deactivated NPI 1275543910 Deactivated / Inactive NPI Male Practitioner

Dr. Mark E Mullendore , MD

Internal Medicine • Springfield, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Mullendore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 08, 2006
NPI Deactivation Date September 11, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mullendore, MD was a registered Internal Medicine practicing in Springfield, IL. Throughout an active medical career spanning 19 years, Dr. Mullendore provided care at the practice location at 2901 OLD JACKSONVILLE RD until profile deactivation on 2025-09-11.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, hospital discharge day management. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2901 Old Jacksonville Rd

Springfield, IL 627047437

Telephone 2176989722
Fax 2173910392
Associated Practice Facility / Clinic
🏢 Pavilion Pharmacy West Facility NPI 1063483451

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.1 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
206 Specialists

Practicing in Springfield, IL (7544 Statewide)

Telehealth Adoption Rate
4.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
83 41 $182.69 $69.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes
34 17 $134.50 $36.93
99238 Hospital discharge day management, 30 minutes or less
23 23 $230.43 $70.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
19 19 $521.82 $193.63
99239 Hospital discharge day management, more than 30 minutes
15 15 $327.50 $104.14

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036057331

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. William Yu , MD

Internal Medicine

NPI 1003903931

Doctor of Medicine (M.D.)

NPI 1013395250
Suzanne Morphew , CFNP

Nurse Practitioner

NPI 1083942502
Dr. Ingrid Alexander , MD

Allergy & Immunology

NPI 1144269531

Doctor of Medicine (M.D.)

Dr. Abdur Nawoor , MD

Internal Medicine

NPI 1154331684

Doctor of Medicine (M.D.)

Maresa Mckraken , RN

Registered Nurse - Continuing Education/Staff Development

NPI 1215863626

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated September 11, 2025

Record deactivated on September 11, 2025

NPI Profile Active December 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 16, 2011

Registered at 2901 OLD JACKSONVILLE RD, SPRINGFIELD, IL 627047437 (Tel: 2176989722)

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Updated Business Mailing Address December 16, 2011

Registered at PO BOX 500, CHATHAM, IL 626290500 (Tel: 2176702424)

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Provider Name / Credentials Updated December 16, 2011

Recorded as MARK MULLENDORE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2011

Internal Medicine (License #036057331 in IL)

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Initial NPI Registration & Enumeration August 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275543910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2006
Last Update: December 16, 2011
Deactivation Date: September 11, 2025

Mailing Address

Po Box 500

Chatham, IL 626290500

Phone: 2176702424

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.