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PRODYOT K. MITRA, M.D.
NPI 1477724425
Surgery in Mchenry, IL

Active since March 18, 2008
633 RIDGEVIEW DR, MCHENRY, IL 60050(815) 344-0621(815) 344-0664 Get Directions Write a Review

NPPES record last updated: October 23, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Prodyot K. Mitra, M.d. NPPES

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

PRODYOT K. MITRA, M.D. (NPI 1477724425) is a healthcare organization registered as a surgery in Mchenry, Illinois and active in the NPI registry since March 2008. The organization lists Prodyot K Mitra, Owner, as its authorized official.

NPPES Registry Identity

NPI1477724425
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePRODYOT K. MITRA, M.D.
Location Address633 RIDGEVIEW DRMchenry, IL 60050-7012
Mailing Address633 Ridgeview DrMchenry, IL 60050-7012 · (815) 344-0621 · Fax (815) 344-0664
Phone(815) 344-0621
Fax(815) 344-0664
Organization SubpartNo
Authorized OfficialProdyot K MitraOwner · (815) 344-0621
Enumeration DateMarch 18, 2008
Last NPPES UpdateOctober 23, 2013
✔ NPI 1477724425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036052608
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036062584 (IL)
633 RIDGEVIEW DR, Mchenry, IL 60050
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Other Identifiers 3

Medicaid036052608IL
Medicare PIN213196IL
Medicaid036062584IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DEEPAK MITRA MD
Internal Medicine
633 RIDGEVIEW DR
MCHENRY, IL 60050
McHenry County (815) 344-2760
HIRAL M PATEL
Nurse Practitioner
633 RIDGEVIEW DR
MCHENRY, IL 60050
McHenry County (815) 344-0621
MIDWEST ENDOCRINOLOGY & DIABETES CARE CENTER
Internal Medicine (Endocrinology, Diabetes & Metabolism)
633 RIDGEVIEW DR
MCHENRY, IL 60050
McHenry County (815) 363-6160
DR. HIRALAL MAHESHWARI M.D., PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
633 RIDGEVIEW DR
MCHENRY, IL 60050
McHenry County (815) 363-6160

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 Prodyot K. Mitra, M.D.'s NPI number?

The NPI number for Prodyot K. Mitra, M.D. is 1477724425. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is Prodyot K. Mitra, M.D. located?

Prodyot K. Mitra, M.D. is located at 633 Ridgeview Dr, Mchenry, IL 60050. The listed phone number is (815) 344-0621.

What is Prodyot K. Mitra, M.D.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Prodyot K. Mitra, M.D. was last updated on October 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.