MICHELE M MITCHELL (MD) – Family Medicine Physician, NPI 1174505325
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for MICHELE M MITCHELL (MD)
779 W Adams St
Chicago, IL 606613509
Phone: (312) 382-8398
Type: Location
401, Mall Boulevard, Grove Park, Savannah, Chatham County, Georgia, 31406, United States
SUITE 202E
SAVANNAH, GA 314064862
Phone: (912) 349-4945
Fax: (912) 349-4105
Type: Mailing
151, South Houston Lake Road, Warner Robins, Houston County, Georgia, 31005, United States
SUITE 190
WARNER ROBINS, GA 310886399
Phone: (478) 953-4171
Fax: (478) 953-4170
Type: Location
1923 W GLEN PARK AVE
GRIFFITH, IN 463193703
Phone: (219) 922-2535
Type: Location
40 75th St
Willowbrook, IL 605272325
Phone: (630) 581-5372
Type: Location
PO BOX 746723
ATLANTA, GA 303746723
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
11260 E JEFFERSON AVE
DETROIT, MI 482143320
Phone: (313) 749-0148
Fax: (313) 263-3298
Type: Location
111 W WACKER DR
CHICAGO, IL 606011606
Phone: (571) 721-8689
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-10-31 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220730000421 | I | Family Practice | IL | TBD |
| I20221017001808 | I | Internal Medicine | CO | TBD |
| I20230218000042 | I | Family Practice | MO | TBD |
| I20240829000805 | I | Family Practice | OK | TBD |
| I20251029002848 | I | Family Practice | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60661)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 81002 | Urinalysis, manual test | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | TX | |
| Family Practice | IL | |
| Hospitalist, Family Practice | IL | |
| Nurse Practitioner | IL | |
| - | IL |
Reviews
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