Active NPI
Robert E Mutterperl, DO
- Internal Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3369
- Practice address
- 6296 E Grant Rd Ste 140
Tucson, AZ 85712-5876 - Phone
- (520) 298-3321
- Fax
- (888) 978-2518
- NPI assigned
- Jun 20, 2006
- Last updated
- Sep 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3369 | AZ | Primary |
Addresses
Primary practice location
6296 E Grant Rd Ste 140
Tucson, AZ 85712-5876
Mailing address
2370 Corporate Cir Ste 300
Henderson, NV 89074-7760
Phone (702) 910-3950
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410348 | Medicaid | AZ | |
| 792417 | Medicaid | AZ | |
| 3369 | Other | AZ | AZ STATE MEDICAL LICENSE |
| AZ0765360 | Other | AZ | BCBSAZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3369 | AZ | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality of Life Medical Centers, LLC | Current | Accepting new patients | |
| Cogent Healthcare of Arizona PC | Internal Medicine | Current | Accepting new patients |
| Bacchus PC | Internal Medicine | Past | Accepting new patients |
| Haven of Saguaro Valley, LLC | Past | Accepting new patients | |
| Hospitalists of Arizona, Inc | Internal Medicine | Past | Accepting new patients |
Locations
16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935
5390 E Erickson Dr
Tucson, AZ 85712
Phone (520) 314-1545
6390 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 284-7949
Organizations & group practices 7
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.
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- Internal Medicine Physician
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- Internal Medicine Physician
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- NPI 1326286915
-
dba Haven of Saguaro Valley
- Skilled Nursing Facility
- Tucson, AZ
- NPI 1346805249
-
dba P3 Health Partners Medical Group
- Family Medicine Physician
- Henderson, NV
- NPI 1134628480
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1861438822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2370 CORPORATE CIR STE 300",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747760",
"telephone_number": "702-910-3950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6296 E GRANT RD STE 140",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125876",
"telephone_number": "520-298-3321",
"fax_number": "888-978-2518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTTERPERL",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2025-09-12",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "3369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410348",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "792417",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE MEDICAL LICENSE",
"identifier": "3369",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAZ",
"identifier": "AZ0765360",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.