DR. DONALD E MITZELFELT MD
NPI 1790878809
Family Medicine in Peoria, IL

Active since October 02, 2006
3915 BARRING TRACE, PEORIA, IL 61615(309) 689-3030(309) 689-6280 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donald E Mitzelfelt Md NPPES

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

DR. DONALD E MITZELFELT MD (NPI 1790878809) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036039927) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1790878809
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONALD E MITZELFELTCredential: MD
Location Address3915 BARRING TRACEPeoria, IL 61615
Mailing Address1120 E War Memorial DrPeoria Height, IL 61616 · (309) 685-0100 · Fax (309) 685-0172
Fax(309) 689-6280
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1790878809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036039927
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3915 BARRING TRACE, Peoria, IL 61615

Other Identifiers 1

Medicare UPINC51956IL

Other Providers at the Same Location NPPES

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

Family Medicine
3915 BARRING TRACE
PEORIA, IL 61615

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 Donald Mitzelfelt's NPI number?

The NPI number for Donald Mitzelfelt is 1790878809. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Donald Mitzelfelt located?

Donald Mitzelfelt practices at 3915 Barring Trace, Peoria, IL 61615. The listed phone number is (309) 689-3030.

What is Donald Mitzelfelt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Donald Mitzelfelt was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.