Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deepak Mitra, MD

Individual provider Internal Medicine Physician · NPI 1114068467

Deepak Mitra, MD is an Internal Medicine in McHenry, Illinois. Qualified in 2005, 21 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Minnesota.

Years since qualifying
21
Licensed in
IL, MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

633 Ridgeview Dr
McHenry, IL 60050-7012
Phone: (815) 344-2760
Fax: (815) 344-0664
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036-122249 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 49813 (MN)

Record details

NPI number1114068467
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address633 Ridgeview Dr, McHenry, IL 60050-7012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in McHenry