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DR. KEITH L MULLENGER M.D.
NPI 1366481079
Radiology - Diagnostic Radiology in Jupiter, FL

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
875 MILITARY TRL, JUPITER, FL 33458(561) 748-9828(561) 630-4543 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Keith L Mullenger M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH L MULLENGER M.D. (NPI 1366481079) is an individual diagnostic radiology provider in Jupiter, Florida, licensed in Florida (ME89087) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Delray Beach, and is a graduate of Washington University School Of Medicine (1978).

NPPES Registry Identity

NPI1366481079
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KEITH L MULLENGERCredential: M.D.
Location Address875 MILITARY TRLJupiter, FL 33458-5700
Mailing Address5555 Anglers Ave, Ste 24Fort Lauderdale, FL 33312-6653 · (954) 962-6265 · Fax (954) 893-9595
Phone(561) 748-9828
Fax(561) 630-4543
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1978
Enumeration DateJune 6, 2006
Last NPPES UpdateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1366481079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in FL · ME89087
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
875 MILITARY TRL, Jupiter, FL 33458
Open in Google Maps ↗

Secondary Practice Location 1

Location 1600 N Congress Ave Ste 230Delray Beach, FL 33445-3428 · Phone (561) 299-0003

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Keith L Mullenger M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254223076
PECOS Enrollment IDI20040326000816
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Keith Mullenger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Impression Imaging LLC
50 mi
Diagnostic Radiology
7180 N UNIVERSITY DR
Tamarac, FL 33321
  • Reassigned Medicare billing, Florida enrollment
  • 84 clinicians in this Medicare group
NPI 1780941864 (954) 580-2780

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY HUSER ARNP-C
Nurse Practitioner (Adult Health)
875 MILITARY TRL, SUITE 200
JUPITER, FL 33458
Palm Beach County (561) 746-2411
DR. ELIO RAUL NOVOA MD
Internal Medicine
875 MILITARY TRL, SUITE 200
JUPITER, FL 33458
Palm Beach County (561) 746-2411
JUPITER MEDICAL GROUP P A
Internal Medicine
875 MILITARY TRL, SUITE 208
JUPITER, FL 33458
Palm Beach County (561) 746-2411
DR. RAJENDRA K BANSAL MD
Internal Medicine
875 MILITARY TRL, SUITE 200
JUPITER, FL 33458
Palm Beach County (561) 746-2411
PATRICIA WHALEN ARNP-C
Nurse Practitioner (Family)
875 MILITARY TRL, SUITE 200
JUPITER, FL 33458
Palm Beach County (561) 746-2411
SHARON PARKER GERAGHTY PA-C
Physician Assistant (Medical)
875 MILITARY TRL, STE 200
JUPITER, FL 33458
Palm Beach County (561) 746-2411
MICHAEL E SCHWARTZ DO PA
Internal Medicine (Gastroenterology)
875 MILITARY TRL, SUITE 210
JUPITER, FL 33458
Palm Beach County (561) 744-5888
STUART B. KROST M.D.P.A.
Clinic/Center (Multi-Specialty)
875 MILITARY TRL, SUITE 105
JUPITER, FL 33458
Palm Beach County (561) 768-0050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Mullenger's NPI number?

The NPI number for Keith Mullenger is 1366481079. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Keith Mullenger located?

Keith Mullenger practices at 875 Military Trl, Jupiter, FL 33458. The listed phone number is (561) 748-9828.

What is Keith Mullenger's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Keith Mullenger enrolled in Medicare?

Yes. Keith Mullenger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Keith Mullenger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Mullenger reassigns Medicare benefits to Impression Imaging LLC (Tamarac, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Mullenger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Mullenger was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.