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MRS. SANJUKTA MITRA MD
NPI 1255407805
Internal Medicine in Mchenry, IL

Active since November 27, 2006PECOS Enrolled
633 RIDGEVIEW DRIVE, MCHENRY, IL 60050(815) 344-0621(815) 344-0664 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sanjukta Mitra Md NPPES

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

MRS. SANJUKTA MITRA MD (NPI 1255407805) is an individual internal medicine provider in Mchenry, Illinois, licensed in Illinois (036062584) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255407805
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. SANJUKTA MITRACredential: MD
Location Address633 RIDGEVIEW DRIVEMchenry, IL 60050-7012
Mailing Address633 Ridgeview DriveMchenry, IL 60050-7012 · (815) 344-0621 · Fax (815) 344-0664
Phone(815) 344-0621
Fax(815) 344-0664
Sole ProprietorNo
Enumeration DateNovember 27, 2006
Last NPPES UpdateMay 8, 2008
✔ NPI 1255407805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036062584
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
633 RIDGEVIEW DRIVE, Mchenry, IL 60050
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Other Identifiers 7

Other0110312IL · Cigna
Other0584515IL · Aetna
Medicare UPIND15495
Medicaid0360625841IL
Other05600261IL · Blue Cross Blue Shield
OtherP00082299IL · Railroad Medicare
Medicare ID-Type UnspecifiedK25967IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sanjukta Mitra Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sanjukta Mitra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
Same address
Surgery
633 RIDGEVIEW DRIVE
Mchenry, IL 60050
  • Reassigned Medicare billing, Illinois enrollment
NPI 1699841247 (815) 344-0621
Lutheran General Hospital
30 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PRODYOT KUMAR MITRA MD
Surgery
633 RIDGEVIEW DRIVE
MCHENRY, IL 60050
McHenry County (815) 344-0621

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 Sanjukta Mitra's NPI number?

The NPI number for Sanjukta Mitra is 1255407805. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Sanjukta Mitra located?

Sanjukta Mitra practices at 633 Ridgeview Drive, Mchenry, IL 60050. The listed phone number is (815) 344-0621.

What is Sanjukta Mitra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanjukta Mitra enrolled in Medicare?

Yes. Sanjukta Mitra is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sanjukta Mitra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjukta Mitra reassigns Medicare benefits to 2 organizations: (Mchenry, IL) and Lutheran General Hospital (Park Ridge, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanjukta Mitra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sanjukta Mitra was last updated on May 8, 2008. 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.