Active NPI
Andrew Mitchelson, M.D.
- Orthopaedic Surgery Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2025038859
- Practice address
- 2325 Dougherty Ferry Rd Ste 100a
Saint Louis, MO 63122-3356 - Phone
- (314) 909-1359
- Fax
- (314) 909-1370
- NPI assigned
- Jun 25, 2015
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2025038859 | MO | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 4301503918 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | 125.067589 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2325 Dougherty Ferry Rd Ste 100a
Saint Louis, MO 63122-3356
Mailing address
1414 W Fair Ave Ste 190
Marquette, MI 49855-5406
Phone (906) 225-1321
Other practice location 1
1414 W Fair Ave Ste 190
Marquette, MI 49855-5406
Phone (906) 225-1321
Other practice location 2
701 N 1st St
Springfield, IL 62702-3757
Phone (217) 545-8000
Other practice location 3
300 State St Ste 205
Erie, PA 16507-1429
Phone (814) 877-6253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200164342 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Southern Illinois University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 W Fair Ave
Marquette, MI 49855-5406
Phone (906) 225-1321
226 S Woods Mill Rd
49W St Luke'S Surgical Consultants
Chesterfield, MO 63017-3663
Phone (314) 434-1211
232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 576-2306
2325 Dougherty Ferry Rd
Suite 100
Saint Louis, MO 63122-3356
Phone (314) 909-1359
Hospital & facility affiliations
- Bell Hospital
- Uphs Marquette DLP Hospital
- Baraga County Memorial Hospital
- St Lukes Hospital
- SSM Health Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.067589 | IL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Lukes Medical Group | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Surgery Associates of Marquette PC | Current | Accepting new patients | |
| Orthopaedic Surgery Associates of Marquette PC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1414 W Fair Ave
Ste 190
Marquette, MI 49855
Phone (906) 225-1321
2325 Dougherty Ferry Rd
Ste 100
Saint Louis, MO 63122
Phone (314) 577-8527
2325 Dougherty Ferry Rd
Ste 100A
Saint Louis, MO 63122
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
Interoperability endpoints
- amitchelson@acops1752.srs-direct.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Chesterfield, MO
- NPI 1215308945
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Marquette, MI
- NPI 1730199845
-
- Durable Medical Equipment & Medical Supplies
- Marquette, MI
- NPI 1518466143
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
- Critical Access Hospital
- Ishpeming, MI
- NPI 1699101345
-
- Critical Access Hospital
- Lanse, MI
- NPI 1558479824
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1912389974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 W FAIR AVE STE 190",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498555406",
"telephone_number": "906-225-1321",
"fax_number": "906-228-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2325 DOUGHERTY FERRY RD STE 100A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223356",
"telephone_number": "314-909-1359",
"fax_number": "314-909-1370"
}
],
"practiceLocations": [
{
"address_1": "1414 W Fair Ave Ste 190",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498555406",
"country_code": "US",
"telephone_number": "906-225-1321",
"fax_number": "906-228-9371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 N 1st St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627023757",
"country_code": "US",
"telephone_number": "217-545-8000",
"fax_number": "217-545-1159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 State St Ste 205",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165071429",
"country_code": "US",
"telephone_number": "814-877-6253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELSON",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-25",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MO",
"license": "2025038859",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "4301503918",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "125.067589",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200164342",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.