Individual provider Active NPI

Andrew Joseph Mueller, MD

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1053773580
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35.138022 Issued in OH
Practice address
3109 W Azeele St
Tampa, FL 33609-3016
Phone
(813) 873-5437
Fax
(813) 873-9373
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.138022 OH Primary

Addresses

Primary practice location

3109 W Azeele St
Tampa, FL 33609-3016

Mailing address

3109 W Azeele St
Tampa, FL 33609-3016
Phone (813) 873-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220726003718 FL Practitioner - Ophthalmology 0648692749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William Mack M D P aGroup PAC ID 6305865924, 2 clinicians

Practice addresses (Care Compare)

3109 W Azeele St
Tampa, FL 33609-3016
Phone (813) 875-5437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.75 of 100Reported as individual
Quality
65
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.138022OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William Mack M D P a Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1247 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 688-5604

3109 W Azeele St
Tampa, FL 33609
Phone (813) 873-5437

Interoperability endpoints

  • Direct secure messaging: andrew.mueller.1@29751.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1053773580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093016",
            "telephone_number": "813-873-5437",
            "fax_number": "813-873-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093016",
            "telephone_number": "813-873-5437",
            "fax_number": "813-873-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.138022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.