Active NPI
Mark A Mitchell, D.O.
- Clinical Cardiac Electrophysiology Physician
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 02003221A
- Practice address
- 701 Superior Ave Ste 4100
Munster, IN 46321-4037 - Phone
- (219) 934-4080
- Fax
- (219) 934-4075
- NPI assigned
- Mar 30, 2007
- Last updated
- Dec 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 036-108244 | IL | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 02003221A | IN | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 02003221A | IN | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 036.108244 | IL |
Addresses
Primary practice location
701 Superior Ave Ste 4100
Munster, IN 46321-4037
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
2150 Gettler St Ste 400
Dyer, IN 46311
Phone (219) 865-5795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200911930 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmitchell64316@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Superior Ave
Suite 4100
Munster, IN 46321-4037
Phone (219) 934-4080
Hospital & facility affiliations
- Franciscan Health Dyer
- Franciscan Health Crown Point
- Franciscan Health Munster
- St Catherine Hospital Inc
- Franciscan Health Olympia & Chicago Heights
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 48 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036084550 | IL | MD | Internal Medicine Physician |
| 02003221A | IN | MD | Cardiovascular Disease Physician |
| 036-108244 | IL | MD | Clinical Cardiac Electrophysiology Physician |
| 036.108244 | IL | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients |
Locations
35318 Eagle Way
Chicago, IL 60678
3800 W 203rd St
Ste 202
Olympia Fields, IL 60461
Phone (708) 679-2010
3700 W 203rd St
Ste 301
Olympia Flds, IL 60461
Phone (708) 679-2850
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
2150 Gettler St
Ste 400
Dyer, IN 46311
Phone (219) 865-0893
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
701 Superior Ave
Ste 4100
Munster, IN 46321
Phone (219) 922-5416
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- mmitchell64316@direct.franciscanalliance.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Franciscan Health Dyer
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1265552756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SUPERIOR AVE STE 4100",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463214037",
"telephone_number": "219-934-4080",
"fax_number": "219-934-4075"
}
],
"practiceLocations": [
{
"address_1": "2150 Gettler St Ste 400",
"address_purpose": "LOCATION",
"city": "Dyer",
"state": "IN",
"postal_code": "46311",
"country_code": "US",
"telephone_number": "219-865-5795",
"fax_number": "219-865-5794",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "036-108244",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IN",
"license": "02003221A",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "02003221A",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "036.108244",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200911930",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmitchell64316@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2150 Gettler St Ste 400",
"city": "Dyer",
"state": "IN",
"country_code": "US",
"postal_code": "46311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.