Winston A Mitchell, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036103962 Issued in IL

Practice address

2320 E 93Rd St
Chicago, IL 60617-3909

Phone

(773) 967-2000

NPI assigned

Oct 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IN, MI, OH4 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 4

Specialty

Anesthesiology

Education

Howard University College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promedica Central PhysiciansGroup PAC ID 2365348190, 785 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promedica Defiance Regional Hospital Hospital, Defiance, OH, CCN 361328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150
  Medicare reassignment Care Compare group NPD
• Huntley Anesthesia Associates LLC

  • Anesthesiology Physician
  • Huntley, IL
  • NPI 1205282019
  Medicare reassignment NPD
• St Bernard Hospital

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1629147210
  Medicare reassignment NPD
• St. Mary'S Hospital, Centralia, Illinois

  • Emergency Medicine Physician
  • Centralia, IL
  • NPI 1770687196
  Medicare reassignment NPD
• Town Square Anesthesia LLC

  • Anesthesiology Physician
  • Woodstock, IL
  • NPI 1669471017
  Medicare reassignment NPD
• 360 Anesthesia PLLC

  • Anesthesiology Physician
  • Wilkes Barre, PA
  • NPI 1811637366

  IL

  Medicare reassignment NPD
• La Porte County Anesthesia Associates LLC

  • Anesthesiology Physician
  • Michigan City, IN
  • NPI 1477553634
  Medicare reassignment NPD
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532

  Anesthesiology

  Medicare reassignment NPD
• Northstar Anesthesia of Illinois, LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1962822395

  IL

  Medicare reassignment NPD
• Northstar Anesthesia of Indiana II, LLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1629475421

  IN

  Medicare reassignment NPD
• Northstar Anesthesia of Indiana LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1043561541

  IN

  Medicare reassignment NPD
• Northstar Anesthesia of Michigan III PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Irving, TX
  • NPI 1972126209

  MI

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Defiance Hospital Inc.

  • Critical Access Hospital
  • Defiance, OH
  • NPI 1699775726
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1104815323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 N STATE ROUTE 91",
            "address_2": "STE 250",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616159506",
            "telephone_number": "309-692-5393",
            "fax_number": "309-692-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173909",
            "telephone_number": "773-967-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8701 Broadway",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107035",
            "country_code": "US",
            "telephone_number": "219-738-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 N State Route 91",
            "address_2": "Ste 250",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616159506",
            "country_code": "US",
            "telephone_number": "309-692-5393",
            "fax_number": "309-692-2538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WINSTON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01077886A",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036103962",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103962",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036103962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103962",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Mitchell, M.D.
• Sarah Mitchell, MD
• Sarah Rose Mitchell, MA
• Sharon Mitchell, N.P.
• Sydney Mitchell, LCSW
• Yvette Mitchell, LCSW
• Serena Mitchual, D.D.S.
• Dominika Dagmara Mitera
• Salma Mitha, D.C
• Divakar Mithal, M.D., PH.D.

• Anesthesiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.

Verify at the official NPI Registry.