Individual provider Active NPI

Thomas John Muelleman, MD

  • Otology & Neurotology Physician
  • Overland Park, KS
National Provider Identifier
1972846491
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
04-43514 Issued in KS
Practice address
4550 W 109TH St Ste 310
Overland Park, KS 66211-1309
Phone
(816) 531-7373
Fax
(816) 875-2597
NPI assigned
Apr 3, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otology & Neurotology Physician 207YX0901X 2020015661 MO
Otology & Neurotology Physician 207YX0901X 04-43514 KS Primary

Addresses

Primary practice location

4550 W 109TH St Ste 310
Overland Park, KS 66211-1309

Mailing address

5101 College Blvd
Leawood, KS 66211-1614
Phone (816) 478-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200709001585 MO Practitioner - Otolaryngology 3173829868 Reassigns benefits to 1 organization
I20200804001847 KS Practitioner - Otolaryngology 3173829868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Kansas School of Med (KC/Wich/Sal), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascentist Physicians Group LLCGroup PAC ID 9335143759, 111 clinicians

Practice addresses (Care Compare)

4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone (816) 478-4200

6815 Frontage Rd
Suite a
Overland Park, KS 66204-1555
Phone (913) 721-3387

Hospital & facility affiliations

  • St Lukes Hospital of Kansas City Hospital, Kansas City, MO, CCN 260138
  • Ascentist Hospital LLC Hospital, Leawood, KS, CCN 170194
  • Research Medical Center Hospital, Kansas City, MO, CCN 260027
  • Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
72.61
Promoting interoperability
100
Improvement activities
30

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020015661MOMDOtology & Neurotology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascentist Physicians Group, LLC Otolaryngology CurrentSince Jul 20, 2020 Accepting new patients

Locations

2300 Hutton Rd
Ste 106
Kansas City, KS 66109
Phone (913) 728-0386

4901 College Blvd
Leawood, KS 66211
Phone (816) 836-2200

4860 College Blvd
Ste 201
Overland Park, KS 66211

6815 Frontage Rd
Ste A
Overland Park, KS 66204
Phone (913) 348-6725

5101 College Blvd
Overland Park, KS 66211

4550 W 109th St
Ste 310
Overland Park, KS 66211
Phone (816) 531-7373

3100 Broadway Blvd
Ste 509
Kansas City, MO 64111
Phone (816) 531-7373

4880 NE Goodview Cir
Lees Summit, MO 64064
Phone (816) 246-1456

3340 NE Ralph Powell Rd
Ste B
Lees Summit, MO 64064
Phone (816) 875-2607

Interoperability endpoints

  • Direct secure messaging: thomas.muelleman.1@12752.direct.athenahealth.com
  • Direct secure messaging: thomas.muelleman@direct.tmcmed.org

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1972846491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 COLLEGE BLVD",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111614",
            "telephone_number": "816-478-4200",
            "fax_number": "816-875-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 W 109TH ST STE 310",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111309",
            "telephone_number": "816-531-7373",
            "fax_number": "816-875-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLEMAN",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "MO",
            "license": "2020015661",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "KS",
            "license": "04-43514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.