Ricky D Mitchell, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M8845 Issued in TX

Practice address

3816 S Clear Creek Rd
Suite E
Killeen, TX 76549-4400

Phone

(254) 554-8773

Fax

(254) 554-2018

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465
  Medicare reassignment NPD
• Privia Medical Group Gulf Coast PLLC

  dba Express Pain and Urgent Care

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1457167033
  NPD
• Ctems Inc

  • Family Medicine Physician
  • Killeen, TX
  • NPI 1205108032
  NPD (past)
• Metroplex Adventist Hospital Inc

  dba AdventHealth Central Texas

  • General Acute Care Hospital
  • Killeen, TX
  • NPI 1629089966
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1144286980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10308",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765470308",
            "telephone_number": "254-554-8773",
            "fax_number": "254-554-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 S CLEAR CREEK RD",
            "address_2": "SUITE E",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494400",
            "telephone_number": "254-554-8773",
            "fax_number": "254-554-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "RICKY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M8845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193746801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Michelle Mitchell, NNP-BC
• Jeanice Amy Mitchell, MPT
• Karen-Mae Mitchell, MD
• Kidada A Mitchell, OTR
• Kimberly M Mitchell, CCC-SLP
• Mollye Katherine Mlcak, PT, DPT
• MLMD PA
• Jonathan Dean Mock, MD
• Raechelle Angelee Moffett, CEO, LVN
• Tyler Mohr, PHARM. D.

• Pediatrics Physician in Killeen, TX
• Providers in Killeen, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.