Individual provider Active NPI

Peter Muller, MD

  • Surgery Physician
  • Roanoke Rapids, NC
National Provider Identifier
1023002979
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39203 Issued in NC
Practice address
244 Smith Church Rd
Building 5
Roanoke Rapids, NC 27870-4956
Phone
(252) 535-2350
NPI assigned
Sep 7, 2005
Last updated
Jan 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 39203 NC Primary
Vascular Surgery Physician 2086S0129X 39203 NC

Addresses

Primary practice location

244 Smith Church Rd
Building 5
Roanoke Rapids, NC 27870-4956

Mailing address

5220 Belfort Rd
Suite 130
Jacksonville, FL 32256-6017
Phone (904) 446-3451

Other identifiers 5

IdentifierTypeStateIssuer
41517OtherNCMEDCOST
8961326MedicaidNC
20024554OtherNCRAILROAD MEDICARE
61326OtherNCBCBSNC
1143058OtherNCCIGNA HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000316 NC Practitioner - General SurgeryPractitioner - Undersea and Hyperbaric Medicine 0446399760 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Undersea and Hyperbaric Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Wound Care Specialists PLLCGroup PAC ID 6204990799, 5 clinicians

Practice addresses (Care Compare)

101 Nash Medical Arts Mall
Rocky Mount, NC 27804-1400
Phone (252) 962-4325

162 NC 33 E Hwy
Tarboro, NC 27886
Phone (252) 641-0514

303 Green St E
Wilson, NC 27893-4105
Phone (252) 243-9800

8250 S NC
Suite 58
Elm City, NC 27822-8079
Phone (252) 443-7744

8282 NC 58
Elm City, NC 27822-8079
Phone (252) 443-7764

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39203NCMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Family Health Centers, Inc Current Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Dec 15, 2020 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Surgery CurrentSince Dec 13, 2014 Accepting new patients
Carolina Family Health Centers, Inc CurrentSince Dec 15, 2020 Accepting new patients
Carolina Wound Care Specialists, PLLC CurrentSince Dec 8, 2020 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

425 Huehl Rd
Bldg 8
Northbrook, IL 60062
Phone (847) 754-4780

8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744

8282 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

244 Smith Church Rd
Bldg 5
Roanoke Rapids, NC 27870
Phone (252) 535-1800

101 Nash Medical Arts Mall
Rocky Mount, NC 27804
Phone (252) 451-6950

162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514

303 Green St E
Wilson, NC 27893
Phone (252) 243-9800

Interoperability endpoints

  • Direct secure messaging: pmuller325908@direct.ochin.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1023002979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 BELFORT RD",
            "address_2": "SUITE 130",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566017",
            "telephone_number": "904-446-3451",
            "fax_number": "904-446-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 SMITH CHURCH RD",
            "address_2": "BUILDING 5",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704956",
            "telephone_number": "252-535-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "39203",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NC",
            "license": "39203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "41517",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8961326",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "20024554",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "61326",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "1143058",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

Verify at the official NPI Registry.