Active NPI
Robert Mueller, D.P.M.
- Podiatrist
- Germantown, WI
National Provider Identifier
1174597421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 529
- Practice address
- W168N11237 Western Ave
Germantown, WI 53022-3239 - Phone
- (262) 253-5060
- NPI assigned
- Feb 14, 2006
- Last updated
- Apr 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 529 | WI | Primary |
Addresses
Primary practice location
W168N11237 Western Ave
Germantown, WI 53022-3239
Mailing address
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43204400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 529 | WI | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1174597421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W168N11237 WESTERN AVE",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530223239",
"telephone_number": "262-253-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W168N11237 WESTERN AVE",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530223239",
"telephone_number": "262-253-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "ROBERT",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WI",
"license": "529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43204400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Germantown, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.