Individual provider Active NPI

Mark Allen Mueller, MD

  • Surgery Physician
  • Crown Point, IN
National Provider Identifier
1043355407
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01060853A Issued in IN
Practice address
12800 Mississippi Pkwy Ste C100
Crown Point, IN 46307-6900
Phone
(219) 662-5585
Fax
(219) 662-5586
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01060853A IN Primary

Addresses

Primary practice location

12800 Mississippi Pkwy Ste C100
Crown Point, IN 46307-6900

Mailing address

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

Other practice location 1

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

Other identifiers 1

IdentifierTypeStateIssuer
200523220AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050815000558 IN Practitioner - General Surgery 5698705176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indiana Surgical Associates PCGroup PAC ID 2163415621, 16 clinicians

Practice addresses (Care Compare)

12750 Saint Francis Dr
Crown Point, IN 46307-0264
Phone (219) 947-1910

7895 Grand Blvd
Hobart, IN 46342-6665
Phone (219) 947-1910

Hospital & facility affiliations

  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy14
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060853AINMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Surgical Associates PC Surgery CurrentSince Jul 1, 2005 Accepting new patients
The Methodist Hospitals, Inc Past Accepting new patients
Healthpoint Wellness LLC Past Accepting new patients

Locations

12800 Mississippi Pkwy
Ste C100
Crown Point, IN 46307
Phone (219) 662-5585

7895 Grand Blvd
Hobart, IN 46342
Phone (219) 947-1910

309 W Johnson Rd
Ste E
La Porte, IN 46350
Phone (219) 379-5559

101 E 87th Ave
Ste 420
Merrillville, IN 46410
Phone (219) 769-2041

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

101 E 87th Ave
Ste 430
Merrillville, IN 46410
Phone (219) 738-5617

3500 Franciscan Way
Ste 3A
Michigan City, IN 46360
Phone (219) 861-8828

2590 Morthland Dr
Ste A
Valparaiso, IN 46385
Phone (219) 246-2338

Interoperability endpoints

  • Direct secure messaging: mmueller@f02e9750.micromddirect.com
  • Direct secure messaging: mmueller83143@direct.franciscanalliance.org

Organizations & group practices 4

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

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1043355407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-947-1910",
            "fax_number": "219-942-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 MISSISSIPPI PKWY STE C100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463076900",
            "telephone_number": "219-662-5585",
            "fax_number": "219-662-5586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7895 Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "IN",
            "postal_code": "463426665",
            "country_code": "US",
            "telephone_number": "219-947-1910",
            "fax_number": "219-942-3829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01060853A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200523220A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.