Individual provider Active NPI

Kyle Mueller, M.D.

  • Neurological Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1275976540
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD474698 Issued in PA
Practice address
801 Spruce St.
3Rd Floor - Suite 302
Philadelphia, PA 19107-5701
Phone
(215) 829-6700
Fax
(215) 829-6645
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD17042 RI
Neurological Surgery Physician 207T00000X MD474698 PA Primary

Addresses

Primary practice location

801 Spruce St.
3Rd Floor - Suite 302
Philadelphia, PA 19107-5701

Mailing address

1865 Route 70 East
Cherry Hill, NJ 08003-8003
Phone (215) 829-6700

Other practice location 1

3800 Reservoir Rd NW
Dept of Neurosurgery
Washington, DC 20007-2113
Phone (202) 444-4972

Other practice location 2

593 Eddy St
Providence, RI 02903-4923
Phone (401) 793-9166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, PA, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200805001907 RI Practitioner - Neurosurgery 8022433234 Reassigns benefits to 1 organization
I20211220002297 PA Practitioner - Neurosurgery 8022433234 Reassigns benefits to 1 organization
I20211221000083 NJ Practitioner - Neurosurgery 8022433234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Texas a & M University System, HSC, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (609) 832-5060

801 Spruce St
FL 3
Philadelphia, PA 19107-5701
Phone (215) 829-6700

Hospital & facility affiliations

  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion80
Laminectomy or laminotomy (partial removal of spine bones)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD474698PAMDNeurological Surgery Physician
MD17042RIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 15, 2021 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 15, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 15, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Neurological Surgery Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jul 1, 2020 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Sep 15, 2021 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

235 S 8th St
Philadelphia, PA 19106
Phone (215) 543-2770

801 Spruce St
Fl 3
Philadelphia, PA 19107
Phone (215) 627-5272

3737 Market St
Fl 8
Philadelphia, PA 19104
Phone (215) 662-4333

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166

593 Eddy St
#7
Providence, RI 02903
Phone (401) 444-3565

593 Eddy St
Providence, RI 02903

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

Organizations & group practices 9

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 6

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1275976540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 EAST",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080038003",
            "telephone_number": "215-829-6700",
            "fax_number": "215-829-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST.",
            "address_2": "3RD FLOOR - SUITE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-6700",
            "fax_number": "215-829-6645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_2": "Dept of Neurosurgery",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-4972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-793-9166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KYLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "MD17042",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD474698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.