Individual provider Active NPI

Robert Peter Muckle, M.D.

  • Specialist
  • Englewood, CO
National Provider Identifier
1245215284
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35738 Issued in CO
Practice address
701 E Hampden Ave Ste 415
Englewood, CO 80113-2759
Phone
(303) 788-7880
Fax
(303) 788-7883
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35738 CO Primary

Addresses

Primary practice location

701 E Hampden Ave Ste 415
Englewood, CO 80113-2759

Mailing address

701 E Hampden Ave
Ste 415
Englewood, CO 80113-2759
Phone (303) 788-7880

Other identifiers 4

IdentifierTypeStateIssuer
01357383MedicaidCO
5196500OtherCOAETNA
114486300MedicaidWY
303341OtherWYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20041210000101 CO Practitioner - OtolaryngologyPractitioner - General Practice 5698732717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Michigan Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Ear AssociatesGroup PAC ID 6507756236, 7 clinicians

Practice addresses (Care Compare)

701 E Hampden Ave
Suite 415
Englewood, CO 80113-2759
Phone (303) 788-7880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.77 of 100Reported as group
Quality
76.88
Improvement activities
40
Cost
46.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35738COMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Ear Associates Specialist CurrentSince Nov 14, 1996 Accepting new patients
Rocky Mountain Gamma Knife Center, LLC Specialist PastSince Jan 1, 2008 Accepting new patients

Locations

401 W Hampden Pl
Ste 240
Englewood, CO 80110
Phone (303) 788-7880

701 E Hampden Ave
Ste 415
Englewood, CO 80113
Phone (303) 597-1724

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1245215284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE",
            "address_2": "STE 415",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132759",
            "telephone_number": "303-788-7880",
            "fax_number": "303-788-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E HAMPDEN AVE STE 415",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132759",
            "telephone_number": "303-788-7880",
            "fax_number": "303-788-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKLE",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2021-09-03",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "35738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357383",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5196500",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114486300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "303341",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.