Individual provider Active NPI

David Alan Muzljakovich, MD

  • Physical Medicine & Rehabilitation Physician
  • Battle Creek, MI
National Provider Identifier
1568554236
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301051188 Issued in MI
Practice address
2545 Capital Ave SW Ste 201
Battle Creek, MI 49015-7103
Phone
(269) 979-5550
Fax
(269) 979-3593
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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 4301051188 MI Primary

Addresses

Primary practice location

2545 Capital Ave SW Ste 201
Battle Creek, MI 49015-7103

Mailing address

2545 Capital Ave SW Ste 201
Battle Creek, MI 49015-7103
Phone (269) 979-5550

Other identifiers 1

IdentifierTypeStateIssuer
2891643MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20101216000994 MI Practitioner - Physical Medicine and Rehabilitation 7618887464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301051188MIMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1568554236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW STE 201",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157103",
            "telephone_number": "269-979-5550",
            "fax_number": "269-979-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW STE 201",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157103",
            "telephone_number": "269-979-5550",
            "fax_number": "269-979-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZLJAKOVICH",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301051188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2891643",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.