Individual provider Active NPI

Richard E Mugge

  • Otolaryngology Physician
  • Danvers, MA
National Provider Identifier
1174513386
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
208512 Issued in MA
Practice address
104 Endicott St
Suite 100
Danvers, MA 01923-3623
Phone
(978) 745-6601
Fax
(978) 624-4040
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 208512 MA Primary

Addresses

Primary practice location

104 Endicott St
Suite 100
Danvers, MA 01923-3623

Mailing address

104 Endicott St
Suite 100
Danvers, MA 01923-3623
Phone (978) 745-6601

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mugge.Richard.NSENT@direct.partner.masshiway.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040615000609 MA Practitioner - Otolaryngology 8729062096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore Ear, Nose and Throat Associates, PCGroup PAC ID 9032138367, 17 clinicians

Practice addresses (Care Compare)

104 Endicott St
Suite 100
Danvers, MA 01923-0009
Phone (978) 745-6601

104 Endicott St
Suite 100
Danvers, MA 01923-3623

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
208512MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Ear, Nose & Throat Associates, PC Otolaryngology CurrentSince Aug 1, 2001 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc Otolaryngology CurrentSince Dec 1, 2013 Accepting new patients
North Shore Ear, Nose & Throat Associates Otolaryngology Current Accepting new patients
NSPG Billing LLC Past Accepting new patients

Locations

100 Cummings Ctr
Ste 136
Beverly, MA 01915

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

104 Endicott St
Ste 100
Danvers, MA 01923
Phone (978) 745-6601

55 Highland Ave
Ste 201
Salem, MA 01970
Phone (978) 745-6601

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: mugge.richard.nsent@direct.partners.masshiway.net
  • Direct secure messaging: mugge.richard.nsent@direct.partner.masshiway.net

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 4

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1174513386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ENDICOTT ST",
            "address_2": "SUITE 100",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233623",
            "telephone_number": "978-745-6601",
            "fax_number": "978-624-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ENDICOTT ST",
            "address_2": "SUITE 100",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233623",
            "telephone_number": "978-745-6601",
            "fax_number": "978-624-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGGE",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "208512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mugge.Richard.NSENT@direct.partner.masshiway.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "104 Endicott St",
            "address_2": "Suite 100",
            "city": "Danvers",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019233623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.