Active NPI
Michael Keene Muhlert, M.D.
- Vascular & Interventional Radiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 42710
- Practice address
- 5959 Park Ave
MPRG
Memphis, TN 38119-5200 - Phone
- (901) 765-3213
- Fax
- (901) 765-1727
- NPI assigned
- Apr 23, 2007
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 19865 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | 042710 | TN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | E-5336 | AR | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 19865 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | E-5336 | AR | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 42710 | TN | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 32039 | SC |
Addresses
Primary practice location
5959 Park Ave
MPRG
Memphis, TN 38119-5200
Mailing address
5959 Park Ave
Memphis Physicians Radiology Practice Group
Memphis, TN 38119-5198
Phone (901) 765-3213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12112969 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- University of Texas Medical School at Houston, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191
900 W Kingshighway
Paragould, AR 72450-5942
Phone (870) 239-7101
Hospital & facility affiliations
- St Francis Hospital
- Saint Francis Bartlett Medical Center
- Arkansas Methodist Medical Center
- Baptist Memorial Hospital North Ms
- Bolivar Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32039 | SC | MD | Community Health Registered Nurse |
| E-5336 | AR | MD | Diagnostic Radiology Physician |
| 42710 | TN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Memphis Pet Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Saint Francis Physician Network, LLC | Past | Accepting new patients | |
| MV Clinic PLLC | Past | Accepting new patients |
Locations
2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556
10 Little Brook Rd
West Wareham, MA 02576
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
6005 Park Ave
Ste 101B
Memphis, TN 38119
Phone (901) 685-3114
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.
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1134231574
AR
-
- Diagnostic Radiology Physician
- Memphis, TN
- NPI 1124130687
-
- Internal Medicine Physician
- Lexington, TN
- NPI 1548036577
-
- Family Medicine Physician
- Covington, TN
- NPI 1295258002
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Hospital-Bartlett
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
-
dba Arkansas Methodist Medical Center
- General Acute Care Hospital
- Paragould, AR
- NPI 1437222312
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
dba Bolivar Medical Center
- General Acute Care Hospital
- Cleveland, MS
- NPI 1457321036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1063630093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 PARK AVE",
"address_2": "MEMPHIS PHYSICIANS RADIOLOGY PRACTICE GROUP",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195198",
"telephone_number": "901-765-3213",
"fax_number": "901-765-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 PARK AVE",
"address_2": "MPRG",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195200",
"telephone_number": "901-765-3213",
"fax_number": "901-765-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUHLERT",
"first_name": "MICHAEL",
"middle_name": "KEENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MS",
"license": "19865",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "042710",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "AR",
"license": "E-5336",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MS",
"license": "19865",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-5336",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TN",
"license": "42710",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "SC",
"license": "32039",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12112969",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.