ANDRE MUELENAER MD NPI 1255303525

NPI Information

NPI: 1255303525
Provider Name: ANDRE MUELENAER, MD
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
102 HIGHLAND AVE SE
SUITE 203
ROANOKE, VA
ZIP 24013
Phone: (540) 985-9835
Get Directions

Andre Muelenaer, MD is a pediatric pulmonology pediatrics in Roanoke, VA. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Andre Muelenaer, MD NPI is 1255303525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 HIGHLAND AVE SE
SUITE 203
ROANOKE, VA
ZIP 24013-256
Phone: (540) 985-9835
Fax: (540) 985-4018

The NPI 1255303525 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 4/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		0101-047216	VIRGINIA	No
2	2080P0214X	Pediatrics	Pediatric Pulmonology	29353	NORTH CAROLINA	No
3	2080P0214X	Pediatrics	Pediatric Pulmonology	0101-047216	VIRGINIA	Yes
4	208000000X	Pediatrics		29353	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6747680	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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