IDOL RAY MITCHELL DPM NPI 1508850694

NPI Information

  • NPI: 1508850694
  • Provider Name: IDOL RAY MITCHELL, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 437 EAST GRANT STREET
    MACOMB, IL
    ZIP 61455
  • Phone: (309) 837-3964

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NPI Details

Idol Ray Mitchell, DPM is a podiatrist in Macomb, IL with 34 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Idol Ray Mitchell, DPM NPI is 1508850694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduation Year:1992

The provider's business location address is:

437 EAST GRANT STREET
MACOMB, IL
ZIP 61455-352
Phone: (309) 837-3964
Fax: (309) 837-3966

The NPI 1508850694 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)

The enumeration date for this NPI number is 9/6/2005 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016-004683ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
112170MEDICARE ID-TYPE UNSPECIFIEDIOWA
24452210001MEDICARE NSCILLINOIS
3K33206MEDICARE PINILLINOIS
44452210001OTHERDMERC
5480034728OTHERRAILROAD MEDICARE PROV #
6U42201MEDICARE UPIN
7214428OTHERILLINOISMEDICARE ID
8016004683MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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