Active NPI
Robert G Mutch, DO
- Obstetrics & Gynecology Physician
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- OS16256
- Practice address
- 661 E Altamonte Dr Ste 328
Altamonte Springs, FL 32701 - Phone
- (407) 303-5204
- Fax
- (407) 303-5205
- NPI assigned
- Jul 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | OS16256 | FL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 5101013139 | MI |
Addresses
Primary practice location
661 E Altamonte Dr Ste 328
Altamonte Springs, FL 32701
Mailing address
661 E Altamonte Dr Ste 328
Altamonte Springs, FL 32701-5103
Phone (407) 303-5204
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4531773 | Medicaid | MI | |
| 4568586 | Medicaid | MI | |
| 4831808 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700
631 E Altamonte Dr
Suite 231
Altamonte Springs, FL 32701-4802
Phone (407) 303-5214
661 E Altamonte Dr
Altamonte Springs, FL 32701-5103
Phone (407) 303-5204
Hospital & facility affiliations
- Adventhealth Orlando
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS16256 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Robert G Mutch DO PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 328
Altamonte Springs, FL 32701
Phone (407) 303-2158
661 E Altamonte Dr
Ste 318
Altamonte Springs, FL 32701
Phone (407) 303-5204
201 N Park Ave
Ste 300
Apopka, FL 32703
Phone (407) 880-3848
755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
100 Carrigan Ave
Ste 1010
Oviedo, FL 32765
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- rmutch73882@adventhealth.direct-ci.com
Organizations & group practices 3
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
- Orlando, FL
- NPI 1225034234
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Marlette, MI
- NPI 1275718520
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1962434712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 E ALTAMONTE DR STE 328",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327015103",
"telephone_number": "407-303-5204",
"fax_number": "407-303-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 E ALTAMONTE DR STE 328",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "32701",
"telephone_number": "407-303-5204",
"fax_number": "407-303-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTCH",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "OS16256",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101013139",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4531773",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4568586",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4831808",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.