Individual provider Active NPI

Frank F Mussemann, M.D.

  • Obstetrics & Gynecology Physician
  • Belleville, IL
National Provider Identifier
1083660344
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036091400 Issued in IL
Practice address
180 S 3Rd St
Suite 200
Belleville, IL 62220-1952
Phone
(618) 233-0017
Fax
(618) 233-0251
NPI assigned
May 26, 2006
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036091400 IL Primary

Addresses

Primary practice location

180 S 3Rd St
Suite 200
Belleville, IL 62220-1952

Mailing address

1407 McPherson Ave
Mount Vernon, IL 62864-2822
Phone (618) 233-0017

Other identifiers 7

IdentifierTypeStateIssuer
036091400MedicaidIL
160025736OtherILRAILROAD MEDICARE
105469OtherMOALLIANCE BC/BS
12014V3948OtherILGROUP HEALTH PLAN
272435OtherILHEALTHLINK
8215125OtherILBLUE CROSS BLUE SHIELD
0707328OtherILUHC MEDICARE COMPLETE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100203000327 IL Practitioner - Obstetrics/Gynecology 4385712967

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ferdinand J. Mueller, LTD. Obstetrics & Gynecology PastSince Sep 23, 2008 Accepting new patients
Heartland Women's Healthcare Il PC Obstetrics & Gynecology 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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1083660344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 MCPHERSON AVE",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642822",
            "telephone_number": "618-233-0017",
            "fax_number": "618-233-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S 3RD ST",
            "address_2": "SUITE 200",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201952",
            "telephone_number": "618-233-0017",
            "fax_number": "618-233-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSEMANN",
        "first_name": "FRANK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036091400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091400",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160025736",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE BC/BS",
            "identifier": "105469",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "12014V3948",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "272435",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8215125",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MEDICARE COMPLETE",
            "identifier": "0707328",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.