Active NPI
Michele M Mitchell, MD
- Family Medicine Physician
- Griffith, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.159710
- Practice address
- 1923 W Glen Park Ave
Griffith, IN 46319-3703 - Phone
- (219) 922-2535
- NPI assigned
- Nov 15, 2005
- Last updated
- Oct 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.159710 | IL | Primary |
| Family Medicine Physician | 207Q00000X | ME88708 | FL |
Addresses
Primary practice location
1923 W Glen Park Ave
Griffith, IN 46319-3703
Mailing address
111 W Wacker Dr
Chicago, IL 60601-1606
Phone (571) 721-8689
Other practice location 1
40 75th St
Willowbrook, IL 60527-2325
Phone (630) 581-5372
Other practice location 2
779 W Adams St
Chicago, IL 60661-3509
Phone (312) 382-8398
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2140598 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CO, OK, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Michigan Medical School, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88708 | FL | MD | Family Medicine Physician |
| 036.159710 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwi Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Oak Street Health Physicians Group, PC | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Colorado, PLLC | Family Medicine | Current | Accepting new patients |
| Oak Street Health Physicians Group of Colorado, PLLC | Family Medicine | Current | Accepting new patients |
| Osh-Il Physicians Group LLC | Family Medicine | Current | Accepting new patients |
| Oak Street Health Physicians Group of Oklahoma, LLC | Family Medicine | Current | Accepting new patients |
| Midwest Express Care 2, Inc | Family Medicine | Current | Accepting new patients |
| Midwest Express Care 4 LLC | Family Medicine | Current | Accepting new patients |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Missouri, LLC | Family Medicine | Current | Accepting new patients |
| Midwest Express Care, Inc | Family Medicine | Current | Accepting new patients |
| Midwest Express Care 4 LLC | Family Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Past | Accepting new patients |
Locations
4380 Austin Bluffs Pkwy
Colorado Springs, CO 80918
Phone (719) 454-6010
1715 E 95th St
Chicago, IL 60617
Phone (773) 768-4437
4848 W Irving Park Rd
Chicago, IL 60641
Phone (773) 724-6200
779 W Adams St
Chicago, IL 60661
Phone (312) 382-8308
2420 State St
East Saint Louis, IL 62205
Phone (618) 318-8809
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
1923 W Glen Park Ave
Griffith, IN 46319
Phone (219) 922-2535
31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800
8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000
1500 US Highway 41
Schererville, IN 46375
Phone (219) 440-7373
16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000
3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981
1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001
Interoperability endpoints
- mmitchell745885@direct.hfhs.org
Organizations & group practices 13
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.
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
Family Medicine
-
dba Midwest Express Clinics
- Urgent Care Clinic/Center
- Hammond, IN
- NPI 1629502810
Family Medicine
-
- Primary Care Clinic/Center
- Colorado Springs, CO
- NPI 1134868599
Family Medicine
-
- Primary Care Clinic/Center
- Oklahoma City, OK
- NPI 1538742051
Family Medicine
-
- Primary Care Clinic/Center
- Chicago, IL
- NPI 1083051643
-
- Primary Care Clinic/Center
- East Saint Louis, IL
- NPI 1265977698
Family Medicine
-
dba Midwest Express Clinic
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
-
- Primary Care Clinic/Center
- Denver, CO
- NPI 1255047288
Family Medicine
-
- Primary Care Clinic/Center
- Saint Louis, MO
- NPI 1669041760
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1174505325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W WACKER DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606011606",
"telephone_number": "571-721-8689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 W GLEN PARK AVE",
"city": "GRIFFITH",
"state": "IN",
"postal_code": "463193703",
"telephone_number": "219-922-2535"
}
],
"practiceLocations": [
{
"address_1": "40 75th St",
"address_purpose": "LOCATION",
"city": "Willowbrook",
"state": "IL",
"postal_code": "605272325",
"country_code": "US",
"telephone_number": "630-581-5372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "779 W Adams St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606613509",
"country_code": "US",
"telephone_number": "312-382-8398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "MICHELE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.159710",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME88708",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2140598",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Griffith, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.