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Deactivated NPI 1508839895 Deactivated / Inactive NPI Male Practitioner

Dr. Philip W Mitchell , MD

Emergency Medicine • Normal, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Philip Mitchell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2006
NPI Deactivation Date January 01, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Mitchell, MD was a registered Emergency Medicine practicing in Normal, IL. Throughout an active medical career spanning 20 years, Dr. Mitchell provided care at the practice location at 1404 N MAPLE ST until profile deactivation on 2026-01-01.

Historical Medicare Part B clinical services included insertion of needle into vein for collection of blood sample, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1404 N Maple St

Normal, IL 617611422

Telephone 3094528404

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Normal, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
15 Specialists

Practicing in Normal, IL (3389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
20 14 $13.00 $2.94
99213 Established patient office or other outpatient visit, typically 15 minutes
12 11 $129.00 $69.69

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IL 036-070228

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 01, 2026

Record deactivated on January 01, 2026

NPI Profile Active March 31, 2009

NPI status registered as active in NPPES database

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Updated Practice Location March 31, 2009

Registered at 1404 N MAPLE ST, NORMAL, IL 617611422 (Tel: 3094528404)

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Updated Business Mailing Address March 31, 2009

Registered at 1404 N MAPLE ST, NORMAL, IL 617611422 (Tel: 3094528404)

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Provider Name / Credentials Updated March 31, 2009

Recorded as PHILIP MITCHELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2009

Emergency Medicine (License #036-070228 in IL)

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Initial NPI Registration & Enumeration February 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508839895
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2006
Last Update: March 31, 2009
Deactivation Date: January 01, 2026

Mailing Address

1404 N Maple St

Normal, IL 617611422

Phone: 3094528404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.