Individual provider Active NPI

Robert Alexander Muller, P.A.-C.

  • Specialist
  • Muncie, IN
National Provider Identifier
1053339408
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
99016197A Issued in IN
Practice address
3500 W Purdue Ave
Muncie, IN 47304-6357
Phone
(765) 747-6090
Fax
(765) 747-5069
NPI assigned
Jul 17, 2006
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10000769A IN
Specialist 174400000X 99016197A IN Primary

Addresses

Primary practice location

3500 W Purdue Ave
Muncie, IN 47304-6357

Mailing address

830 Sim Hodgin Pkwy
Richmond, IN 47374-1931
Phone (765) 747-6090

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720000268 IN Practitioner - Physician Assistant 3971530114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Dermatology Center PCGroup PAC ID 5496706210, 12 clinicians
Henry County Memorial HospitalGroup PAC ID 6002724085, shared by 41 NPIs, 153 clinicians

Practice addresses (Care Compare)

1473 E State Rd
44 Suite 1
Connersville, IN 47331-8375
Phone (765) 747-6090

152 Wittenbraker Ave
New Castle, IN 47362-5035
Phone (765) 599-2754

830 Sim Hodgin Pkwy
Richmond, IN 47374-1931
Phone (765) 747-6090

Merit-based Incentive Payment System (MIPS)

Final score
84.97 of 100Reported as individual
Quality
72.67
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
99016197AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Applegarth Dermatology PC Medical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1053339408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SIM HODGIN PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741931",
            "telephone_number": "765-747-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046357",
            "telephone_number": "765-747-6090",
            "fax_number": "765-747-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "ROBERT",
        "middle_name": "ALEXANDER",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000769A",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "99016197A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.