Individual provider Active NPI

Michele M Mitchell, MD

  • Family Medicine Physician
  • Griffith, IN
National Provider Identifier
1174505325
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.159710 Issued in IL
Practice address
1923 W Glen Park Ave
Griffith, IN 46319-3703
Phone
(219) 922-2535
NPI assigned
Nov 15, 2005
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2140598MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO, OK, IN4 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

Enrollment IDStateProvider typePAC IDDetails
I20220730000421 IL Practitioner - Family Practice 9234215401 Reassigns benefits to 3 organizations
I20221017001808 CO Practitioner - Internal Medicine 9234215401 Reassigns benefits to 1 organization
I20240829000805 OK Practitioner - Family Practice 9234215401 Reassigns benefits to 1 organization
I20251029002848 IN Practitioner - Family Practice 9234215401 Reassigns benefits to 3 organizations

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
Midwest Express Care 2, IncGroup PAC ID 0547495467, 221 clinicians

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

LicenseStateTypeSpecialty
ME88708FLMDFamily Medicine Physician
036.159710ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nwi Urgent Care, LLC Family Medicine CurrentSince Oct 7, 2025 Accepting new patients
Oak Street Health Physicians Group, PC CurrentSince Apr 1, 2022 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Family Medicine CurrentSince Oct 21, 2022 Accepting new patients
Oak Street Health Physicians Group of Colorado, PLLC Family Medicine CurrentSince Oct 21, 2022 Accepting new patients
Osh-Il Physicians Group LLC Family Medicine CurrentSince May 5, 2022 Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Midwest Express Care 2, Inc Family Medicine CurrentSince Oct 7, 2025 Accepting new patients
Midwest Express Care 4 LLC Family Medicine CurrentSince Oct 7, 2025 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Oct 7, 2025 Accepting new patients
Oak Street Health Physicians Group of Missouri, LLC Family Medicine CurrentSince Feb 8, 2023 Accepting new patients
Midwest Express Care, Inc Family Medicine CurrentSince Oct 7, 2025 Accepting new patients
Midwest Express Care 4 LLC Family Medicine CurrentSince Oct 7, 2025 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

  • Direct secure messaging: 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.

View all 13

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

Verify at the official NPI Registry.