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MR. PRODYOT KUMAR MITRA MD
NPI 1699841247
Surgery 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: August 09, 2026.

About Mr. Prodyot Kumar Mitra Md NPPES

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

MR. PRODYOT KUMAR MITRA MD (NPI 1699841247) is an individual surgery provider in Mchenry, Illinois, licensed in Illinois (036052608) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699841247
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. PRODYOT KUMAR 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 1699841247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
633 RIDGEVIEW DRIVE, Mchenry, IL 60050
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Other Identifiers 6

Other05600205IL · Blue Cross Blue Shield
Medicare UPINA53829
Medicaid0360526081IL
Other024000852IL · Railroad Medicare
Other5432896IL · Cigna
Medicare ID-Type UnspecifiedK25966IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Prodyot Kumar 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.

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
$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.

Other Providers at the Same Location NPPES

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

MRS. SANJUKTA MITRA MD
Internal Medicine
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 Prodyot Mitra's NPI number?

The NPI number for Prodyot Mitra is 1699841247. It was assigned to this individual provider in the NPPES registry on November 27, 2006.

Where is Prodyot Mitra located?

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

What is Prodyot Mitra's specialty?

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

Is Prodyot Mitra enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Prodyot 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.