Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRYAN MICHAEL MISTRETTA DO
NPI 1932722006
Colon & Rectal Surgery in Springfield, IL

Q: What is Bryan Mistretta's NPI number?

The NPI number for Bryan Mistretta is 1932722006. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Q: What is Bryan Mistretta's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Mistretta was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.

Active since May 25, 2020PECOS Enrolled

315 W CARPENTER ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-0952 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 7, 2026, May 25, 2020 (2 updates tracked since 2020).

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About Bryan Michael Mistretta Do NPPES

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

BRYAN MICHAEL MISTRETTA DO (NPI 1932722006) is an individual colon & rectal surgery provider in Springfield, Illinois, licensed in Illinois (036174964) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2020).

NPPES Registry Identity

NPI1932722006

Entity TypeIndividualMale

Primary Taxonomy208C00000X

Provider Legal NameBRYAN MICHAEL MISTRETTACredential: DO

Location Address315 W CARPENTER STSpringfield, IL 62702-4901

Mailing AddressPo Box 19638Springfield, IL 62794-9638

Phone(217) 545-8000

Fax(217) 545-0952

Sole ProprietorNo

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2020

Enumeration DateMay 25, 2020

Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1932722006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in IL · 036174964

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 125076122 (IL)

315 W CARPENTER ST, Springfield, IL 62702

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Secondary Practice Location 1

Location 1701 N 1st St Ste D327Springfield, IL 62702-3757 · Phone (217) 545-8444 · Fax (217) 545-7762

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Michael Mistretta Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072936624

PECOS Enrollment IDI20260810003422

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 62702 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 20

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

ASHLEY RACHEL MOHAN DO

Internal Medicine (Hematology & Oncology)

315 W CARPENTER ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

IMRAN HASSAN M.D.

Colon & Rectal Surgery

315 W CARPENTER ST, 2 ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 545-1025

DR. HAYDEN ELISE ROTRAMEL MD

Internal Medicine (Gastroenterology)

315 W CARPENTER ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

MUAATAZ AZZAWI

Internal Medicine (Gastroenterology)

315 W CARPENTER ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

THERESA M BOLEY CFNP

Nurse Practitioner (Family)

315 W CARPENTER ST, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 545-7422

STEPHEN R HAZELRIGG M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

315 W CARPENTER ST, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 545-7422

MARY CATHERINE BRANDT MD

Surgery

315 W CARPENTER ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

KYUNGSUK JUNG MD MPH

Internal Medicine (Hematology & Oncology)

315 W CARPENTER ST, CLINIC B
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

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 Bryan Mistretta's NPI number?

The NPI number for Bryan Mistretta is 1932722006. It was assigned to this individual provider in the NPPES registry on May 25, 2020.

Where is Bryan Mistretta located?

Bryan Mistretta practices at 315 W Carpenter St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Bryan Mistretta's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Bryan Mistretta enrolled in Medicare?

Yes. Bryan Mistretta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Mistretta was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.