Individual provider Active NPI

Robert W Mauthe, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Center Valley, PA
National Provider Identifier
1356303952
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036783E Issued in PA
Practice address
4676 Route 309
Center Valley, PA 18034-8200
Phone
(610) 791-7690
Fax
(610) 791-7693
NPI assigned
Apr 6, 2006
Last updated
Jul 27, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036783E PA Primary

Addresses

Primary practice location

4676 Route 309
Center Valley, PA 18034-8200

Mailing address

4676 Route 309
Center Valley, PA 18034-8200
Phone (610) 791-7690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040609001128 PA Practitioner - Physical Medicine and Rehabilitation 0840273074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4676 Route 309
Center Valley, PA 18034-8200
Phone (610) 791-7690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036783EPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W. Mauthe, M.D. P.C. CurrentSince Jun 1, 2004 Accepting new patients

Locations

4676 Route 309
Center Valley, PA 18034
Phone (610) 790-0610

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1356303952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 ROUTE 309",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348200",
            "telephone_number": "610-791-7690",
            "fax_number": "610-791-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 ROUTE 309",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348200",
            "telephone_number": "610-791-7690",
            "fax_number": "610-791-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUTHE",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "036783E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.