Active NPI
Stephen David Mueller, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Cincinnati, OH
National Provider Identifier
1376509836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 35.045119
- Practice address
- 2139 Auburn Avenue
Room 6166
Cincinnati, OH 45219-2906 - Phone
- (513) 585-3488
- Fax
- (513) 585-0011
- NPI assigned
- Apr 25, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 35045119M | OH | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 35.045119 | OH | Primary |
Addresses
Primary practice location
2139 Auburn Avenue
Room 6166
Cincinnati, OH 45219-2906
Mailing address
2139 Auburn Avenue
Room 6166
Cincinnati, OH 45219-2905
Phone (513) 585-3488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515491 | Medicaid | OH | |
| 64962798 | Medicaid | KY | |
| 200160800 | Medicaid | IN |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35045119M | OH | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Past | Accepting new patients | |
| University of Cincinnati Physicians Company, LLC | Geriatric Medicine | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1609842087
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Geriatric Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1376509836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 AUBURN AVENUE",
"address_2": "ROOM 6166",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192905",
"telephone_number": "513-585-3488",
"fax_number": "513-585-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2139 AUBURN AVENUE",
"address_2": "ROOM 6166",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192906",
"telephone_number": "513-585-3488",
"fax_number": "513-585-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUELLER",
"first_name": "STEPHEN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OH",
"license": "35045119M",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "OH",
"license": "35.045119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0515491",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64962798",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200160800",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.