Individual provider Active NPI

Stephan G Muhlebach, M.D.

  • Cardiovascular Disease Physician
  • Hyannis, MA
National Provider Identifier
1710965157
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
226058 Issued in MA
Practice address
140 Yarmouth Rd
Hyannis, MA 02601-3064
Phone
(508) 778-8818
Fax
(508) 778-1003
NPI assigned
Jan 5, 2006
Last updated
Nov 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 226058 MA Primary

Addresses

Primary practice location

140 Yarmouth Rd
Hyannis, MA 02601-3064

Mailing address

140 Yarmouth Rd
Hyannis, MA 02601-3064
Phone (508) 778-8818

Other identifiers 2

IdentifierTypeStateIssuer
J29071OtherMABCBSMA
2109328MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050823000613 MA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 4486685138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Connecticut School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360-2237
Phone (508) 210-5920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Cardiovascular Consultants of Cape Cod LLC Cardiovascular Disease CurrentSince Aug 1, 2005 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Physicians of Cape Cod Hospital Cardiovascular Disease CurrentSince Aug 21, 2012 Accepting new patients

Locations

83 Route 130
Forestdale, MA 02644
Phone (508) 827-1954

140 Yarmouth Rd
Hyannis, MA 02601
Phone (508) 775-6131

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

30 Resnik Rd
Plymouth, MA 02360
Phone (508) 746-2900

32 Resnik Rd
Ste 2
Plymouth, MA 02360
Phone (508) 732-9269

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

Interoperability endpoints

  • Direct secure messaging: smuhlebach253154@direct.bilh.masshiway.net

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1710965157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 YARMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013064",
            "telephone_number": "508-778-8818",
            "fax_number": "508-778-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 YARMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013064",
            "telephone_number": "508-778-8818",
            "fax_number": "508-778-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHLEBACH",
        "first_name": "STEPHAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "226058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J29071",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109328",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.