Individual provider Active NPI

Robert Woollen Mueller, MD

  • Orthopaedic Surgery Physician
  • Newark, OH
National Provider Identifier
1316916752
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35077513 Issued in OH
Practice address
1717 W Main St
Suite 201
Newark, OH 43055-1347
Phone
(220) 564-2900
Fax
(220) 564-2901
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35077513 OH Primary

Addresses

Primary practice location

1717 W Main St
Suite 201
Newark, OH 43055-1347

Mailing address

1717 W Main St
Suite 201
Newark, OH 43055-1347
Phone (220) 564-2900

Other identifiers 1

IdentifierTypeStateIssuer
2152414MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmueller14393@lickingmemorial.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061116000196 OH Practitioner - Orthopedic Surgery 4082612551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Johns Hopkins University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Licking Memorial Health ProfessionalsGroup PAC ID 6204740731, 235 clinicians

Practice addresses (Care Compare)

36 McMillen Dr
Newark, OH 43055-1809
Phone (220) 564-4270

Hospital & facility affiliations

  • Licking Memorial Hospital Home Care Home health agency, Newark, OH, CCN 367475
  • Centerwell Home Health II Home health agency, Mount Vernon, OH, CCN 368015
  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
75.66
Promoting interoperability
100
Improvement activities
40
Cost
75.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35077513OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Licking Memorial Hospital Current Accepting new patients
Licking Memorial Health Professionals CurrentSince Jul 16, 2015 Accepting new patients
Licking Memorial Professional Corporation Orthopaedic Surgery CurrentSince Jul 16, 2015 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients
Orthopedics and Sports Medicine Incorporated Past Accepting new patients

Locations

1320 W Main St
Newark, OH 43055
Phone (740) 348-4151

120 McMillen Dr
Newark, OH 43055
Phone (220) 564-4806

1717 W Main St
Apt 201
Newark, OH 43055
Phone (220) 564-2900

36 McMillen Dr
Newark, OH 43055
Phone (740) 344-1304

Organizations & group practices 7

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 3

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1316916752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551347",
            "telephone_number": "220-564-2900",
            "fax_number": "220-564-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551347",
            "telephone_number": "220-564-2900",
            "fax_number": "220-564-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "ROBERT",
        "middle_name": "WOOLLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35077513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152414",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmueller14393@lickingmemorial.medicity.net",
            "affiliation": "N",
            "address_1": "1717 W Main St",
            "address_2": "Suite 201",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.