DR. WILLIAM G MITSOS DDS
NPI 1194912709
Dentist in Kankakee, IL

Active since September 27, 2007PECOS Enrolled
1291 S SEVENTH AVE, KANKAKEE, IL 60901(815) 932-0022(815) 932-1202 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William G Mitsos Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLIAM G MITSOS DDS (NPI 1194912709) is an individual dentist in Kankakee, Illinois and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194912709
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. WILLIAM G MITSOSCredential: DDS
Location Address1291 S SEVENTH AVEKankakee, IL 60901
Mailing Address1291 S Seventh AveKankakee, IL 60901 · (815) 932-0022 · Fax (815) 932-1202
Fax(815) 932-1202
Sole ProprietorYes
Enumeration DateSeptember 27, 2007
NPI 1194912709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1291 S SEVENTH AVE, Kankakee, IL 60901

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. William G Mitsos Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Mitsos's NPI number?

The NPI number for William Mitsos is 1194912709. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is William Mitsos located?

William Mitsos practices at 1291 S Seventh Ave, Kankakee, IL 60901. The listed phone number is (815) 932-0022.

What is William Mitsos's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is William Mitsos enrolled in Medicare?

Yes. William Mitsos is registered in the Medicare PECOS enrollment system.

What insurance does William Mitsos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list William Mitsos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Mitsos was last updated on September 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.