Organization Active NPI

Mitchell Orthopaedics, PLLC

  • Orthopaedic Surgery Physician
  • Kerrville, TX
National Provider Identifier
1225640949
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MITCHELL ORTHOPAEDICS, PLLC
Practice address
695 Hill Country Dr Ste B
Kerrville, TX 78028-6074
Phone
(830) 257-2880
Fax
(830) 257-8333
NPI assigned
Aug 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Dr. Robert E Mitchell, MDNPI 1669452975
Title
Sole Owner
Phone
(830) 257-8220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

695 Hill Country Dr Ste B
Kerrville, TX 78028-6074

Mailing address

695 Hill Country Dr Ste B
Kerrville, TX 78028-6074
Phone (830) 257-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201026001466 TX Part B Supplier - Clinic/Group Practice 8921428251 Receives reassigned benefits from 1 practitioner
Practice locations: Kerrville, TX
O20220224002640 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8921428251 Practice locations: Kerrville, TX

National Provider Directory

National Provider Directory

Locations

695 Hill Country Dr
Ste B
Kerrville, TX 78028
Phone (830) 257-2880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1225640949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 HILL COUNTRY DR STE B",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286074",
            "telephone_number": "830-257-2880",
            "fax_number": "830-257-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 HILL COUNTRY DR STE B",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286074",
            "telephone_number": "830-257-2880",
            "fax_number": "830-257-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL ORTHOPAEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "830-257-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.