Individual provider Active NPI

Daniel Mitchell, M.D.

  • Anesthesiology Physician
  • Arlington Heights, IL
National Provider Identifier
1144249699
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
036-079041 Issued in IL
Practice address
800 W Central Rd
Arlington Heights, IL 60005-2349
Phone
(847) 618-1000
NPI assigned
Jul 18, 2006
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 036-079041 IL Primary

Addresses

Primary practice location

800 W Central Rd
Arlington Heights, IL 60005-2349

Mailing address

2321 Coach Rd
Long Grove, IL 60047-5003
Phone (847) 438-3883

Other practice location 1

10400 Haligus Rd
Huntley, IL 60142-9553
Phone (224) 654-0000

Other identifiers 2

IdentifierTypeStateIssuer
36079041MedicaidIL
604600OtherILMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100727000870 IL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 1557494630 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-079041ILMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Anesthesiology CurrentSince Dec 31, 2023 Accepting new patients
Illinois Gastroenterology Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
Endeavor Health Medical Group Anesthesiology Current Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Oct 1, 2024 Accepting new patients
Northwest Gastroenterologists SC Current Accepting new patients
Elgin Gastroenterology SC Current Accepting new patients
Associated Healthcare Group Anesthesiology CurrentSince Sep 24, 2024 Accepting new patients
Elgin Gastroenterology Endoscopy Center LLC Current Accepting new patients
Deerpath Ambulatory Surgical Center, LLC Past Accepting new patients

Locations

129 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 215-0530

800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

9532 Eagle Way
Chicago, IL 60678

745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

101 Waukegan Rd
Ste 980
Lake Bluff, IL 60044
Phone (847) 457-1060

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1144249699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 COACH RD",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475003",
            "telephone_number": "847-438-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052349",
            "telephone_number": "847-618-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10400 Haligus Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601429553",
            "country_code": "US",
            "telephone_number": "224-654-0000",
            "fax_number": "224-654-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036-079041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36079041",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "604600",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.