Individual provider Active NPI

Michael Joseph Mitchell, M.D.

  • Anesthesiology Physician
  • Kalispell, MT
National Provider Identifier
1932367125
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
10010 Issued in MT
Practice address
310 Sunnyview LN
Kalispell, MT 59901-3129
Phone
(406) 752-5111
NPI assigned
May 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K8663 TX
Anesthesiology Physician 207L00000X 10010 MT Primary
Anesthesiology Physician 207L00000X 42138 CO

Addresses

Primary practice location

310 Sunnyview LN
Kalispell, MT 59901-3129

Mailing address

PO Box 24823
Seattle, WA 98124-0823
Phone (425) 407-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090612000388 MT Practitioner - Anesthesiology 7315931532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Texas a & M University System, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Rockies Anesthesia Consultants PLLCGroup PAC ID 8022900208, 33 clinicians

Practice addresses (Care Compare)

310 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 752-5111

320 Sunnyview LN
Kalispell, MT 59901-3129
Phone (406) 751-7550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10010MTMDAnesthesiology Physician
K8663TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Rockies Anesthesia Consultants PLLC Anesthesiology CurrentSince Jun 1, 2009 Accepting new patients
Community Hospital of Anaconda Past Accepting new patients

Locations

320 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 752-7441

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

106 Ridgewater Dr
Ste A
Polson, MT 59860
Phone (406) 883-3200

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 and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1932367125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24823",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240823",
            "telephone_number": "425-407-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SUNNYVIEW LN",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013129",
            "telephone_number": "406-752-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-25",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K8663",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MT",
            "license": "10010",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "42138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.