Deepak Mitra, MD - Medicare Internal Medicine in Mchenry, IL

Deepak Mitra, MD is a medicare enrolled "Internal Medicine" physician in Mchenry, Illinois. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Advocate Health And Hospitals Corporation and his current practice location is 633 Ridgeview Dr, Mchenry, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 344-2760.

Deepak Mitra is licensed to practice in Illinois (license number 036-122249) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114068467.

Contact Information

Deepak Mitra, MD
633 Ridgeview Dr,
Mchenry, IL 60050-7012
(815) 344-2760
(815) 344-0664

Map and Direction




Physician's Profile

Full NameDeepak Mitra
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location633 Ridgeview Dr, Mchenry, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Deepak Mitra graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1114068467
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 04/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0941391841
  • Enrollment ID: I20090114000311

Medical Identifiers

Medical identifiers for Deepak Mitra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114068467NPI-NPPES
552920000MedicaidMN
MITRADEEOtherWIMERCYCARE INSURANCE
P00684628CG6042OtherILRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 49813 (Minnesota)Secondary
207R00000XInternal Medicine 036-122249 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Home Health Care ServLombard, ILHome health agency
Advocate Good Shepherd HospitalBarrington, ILHospital
Northwestern Medicine Mchenry HospitalMchenry, ILHospital
Central Dupage HospitalWinfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advocate Health And Hospitals Corporation78108009352422

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Deepak Mitra allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deepak Mitra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deepak Mitra, MD
633 Ridgeview Dr,
Mchenry, IL 60050-7012

Ph: (815) 344-2760
Deepak Mitra, MD
633 Ridgeview Dr,
Mchenry, IL 60050-7012

Ph: (815) 344-2760

Reviews and Comments


Internal Medicine Doctors in Mchenry, IL

Pakhadi H Buddhadev, M.D.
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Dr. Shaji Mariyam Baig, MD
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Vishal Garimella, M.B.B.S.
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Practice Location: 4201 Medical Center Drive, Mchenry, IL 60050
Phone: 815-344-5000    
Ms. Sonika Bindu Prasad, MD
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Medicare: Medicare Enrolled
Practice Location: 4201 Medical Center Drive, Mchenry, IL 60050
Phone: 315-338-6600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.