Individual provider Active NPI

Patricia Ann Muller, PAC

  • Surgical Physician Assistant
  • Baltimore, MD
National Provider Identifier
1811007263
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
COO01956 Issued in MD
Practice address
5601 Loch Raven Blvd # 2N
Baltimore, MD 21239-2950
Phone
(433) 444-4275
Fax
(443) 444-4276
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X COO01956 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd # 2N
Baltimore, MD 21239-2950

Mailing address

5601 Loch Raven Blvd # 2N
Baltimore, MD 21239-2950
Phone (433) 444-4275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050308000404 PA Practitioner - Physician Assistant 1052364296 Reassigns benefits to 2 organizations
I20170913000094 MD Practitioner - Physician Assistant 1052364296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (410) 581-1200

5601 Loch Raven Blvd Russel
Ste2
Baltimore, MD 21239-2945
Phone (443) 444-5600

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Baltimore, MD, CCN 217068
  • Medstar Good Samaritan Hospital Hospital, Baltimore, MD, CCN 210056

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
COO01956MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Physician Group LLC CurrentSince Mar 1, 2020 Accepting new patients
WHC Emerg Phys CurrentSince Mar 1, 2020 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2017 Accepting new patients
Washington Hospital Center Corp CurrentSince Aug 7, 2017 Accepting new patients
Tower Health Medical Group CurrentSince Jul 1, 2017 Accepting new patients
Reading Hospital CurrentSince Aug 4, 2008 Accepting new patients
Reading Hospital CurrentSince Aug 4, 2008 Accepting new patients
Medstar Heart Institute LLC Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

5601 Loch Raven Blvd
Ste 2
Baltimore, MD 21239
Phone (443) 444-4912

5601 Loch Raven Blvd
Ste 101
Baltimore, MD 21239
Phone (410) 433-4300

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

5601 Loch Raven Blvd
#2N
Baltimore, MD 21239
Phone (433) 444-4275

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1811007263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD # 2N",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392950",
            "telephone_number": "433-444-4275",
            "fax_number": "443-444-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD # 2N",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392950",
            "telephone_number": "433-444-4275",
            "fax_number": "443-444-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "COO01956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.