Mitchell Drexler, DPM MPH

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016002638 Issued in IL

Practice address

4817 W 83Rd St
Burbank, IL 60459-2790

Phone

(708) 425-3135

Fax

(708) 425-6884

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Dr. Mitchell Drexler Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Burbank Medical Group Inc

  • Internal Medicine Physician
  • Burbank, IL
  • NPI 1508107061
  NPD (past)
• San Pablo Medical Center, LTD.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1548323330
  NPD (past)
• Southwest Foot Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Oak Lawn, IL
  • NPI 1063381952
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922021674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 BUENA RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600351003",
            "telephone_number": "847-858-7035",
            "fax_number": "708-423-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 W 83RD ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592790",
            "telephone_number": "708-425-3135",
            "fax_number": "708-425-6884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 S Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60624",
            "country_code": "US",
            "telephone_number": "773-533-7348",
            "fax_number": "708-581-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREXLER",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DPM MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016002638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "016002638",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE CONTROLLED",
            "identifier": "316000425",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "203587",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016002638",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60020753",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITCHELL",
            "last_name": "DREXLER",
            "prefix": "DR.",
            "credential": "DPM MPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charmi Vijay Desai, DO
• Sundeep Dhawan, D.D.S.
• Joyce K Diipla, MD
• Meghan Elizabeth Donovan, MD
• Dr. Irving Zagorin Optometrist LTD.
• DRS Wang M.D.S.C
• Mary Kate Dunne, DVM
• Thomas Dzielawski, D.C.
• Dominique Eaves, FNP
• Eccentric 28 Transportation LLC

• All providers in Burbank, IL
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.