Active NPI
Peter Muller, MD
- Surgery Physician
- Roanoke Rapids, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 39203
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41517 | Other | NC | MEDCOST |
| 8961326 | Medicaid | NC | |
| 20024554 | Other | NC | RAILROAD MEDICARE |
| 61326 | Other | NC | BCBSNC |
| 1143058 | Other | NC | CIGNA 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Perelman School of Med at the University of Pennsylvania, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 30 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39203 | NC | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Integrated Wound Specialists of North Carolina, PLLC | Surgery | Current | Accepting new patients |
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Carolina Wound Care Specialists, PLLC | Current | 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
- 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.
-
dba Wilson Community Health Center
- Federally Qualified Health Center (FQHC)
- Wilson, NC
- NPI 1184792103
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Rocky Mount, NC
- NPI 1942445762
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1558666776
Surgery
-
dba Lee Student Health Center
- Federally Qualified Health Center (FQHC)
- Wilson, NC
- NPI 1518440734
-
dba Freedom Hill Community Health Center
- Federally Qualified Health Center (FQHC)
- Tarboro, NC
- NPI 1770651655
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Nash General Hospital
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1619969219
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.