Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kevin Patrick Mcmullen, MD

Radiation Oncology Physician in Statesville, NC · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093797045

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Kevin Patrick Mcmullen

Credential MD

Sex Male

Practice address 557 Brookdale Dr, Statesville, NC, 28677

Phone (704) 878-4615

Fax (704) 878-7193

Enumeration date Nov 16, 2005

Last updated in NPPES Dec 11, 2024

Taxonomy & licenses

2085R0001X Radiation Oncology Physician Allopathic & Osteopathic Physicians · License 9900941 (NC) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
2004948000	Medicaid	WV	-
201037980	Medicaid	IN	-
P01420734	Other	IN	RAILROAD MEDICARE
7957688	Other	-	AETNA
802872	Other	NC	PARTNERS
Q0094C	Medicaid	SC	-
10001251	Medicaid	VA	-
1333U	Other	NC	BCBS
891333U	Medicaid	NC	-
000000746372	Other	IN	ANTHEM
000000990588	Other	IN	ANTHEM PIN
C6010	Other	NC	MEDCOST

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kevin Mcmullen practice?

The practice location on file with NPPES is in Statesville, NC. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kevin Mcmullen?

The National Provider Identifier (NPI) for Kevin Mcmullen is 1093797045, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-11.