Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter M Muchendu, PA-C

Individual provider Physician Assistant · NPI 1336588284

Peter M Muchendu, PA-C is a Physician Assistant in Rockford, Illinois. Qualified in 2013, 13 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

324 Roxbury Rd
Rockford, IL 61107-5090
Phone: (815) 381-7431
Fax: (815) 381-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004808 (IL)

Record details

NPI number1336588284
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2013
Last updated in NPPESJanuary 3, 2022
Mailing addressPo Box 78534, Milwaukee, WI 53278-0247

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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