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

Dr. Mitchel Matthew McKenzie, MD

Individual provider Surgery Physician · NPI 1770865164

Dr. Mitchel Matthew McKenzie, MD is a General Surgery in Moline, Illinois. Qualified in 2011, 15 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 John Deere Rd Ste 301
Moline, IL 61265-6812
Phone: (309) 779-4400
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301099175 (MI)

Record details

NPI number1770865164
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 13, 2011
Last updated in NPPESAugust 8, 2016

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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