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

Idol Ray Mitchell, DPM

Individual provider Podiatrist · NPI 1508850694

Idol Ray Mitchell, DPM is a Podiatry in Macomb, Illinois. Graduated from College of Podiatric Med and Surgery, Des Moines University in 1992, 34 years ago. Practices with Blessing Hospital, a 413-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
34
Trained at
College of Podiatric Med and Surgery, Des Moines University
Licensed in
IL
In the registry since
2005
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

437 E Grant St
Macomb, IL 61455-3352
Phone: (309) 837-3964
Fax: (309) 837-3966
Show map & directions

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

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 016-004683 (IL)

Record details

NPI number1508850694
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 6, 2005
Last updated in NPPESMay 15, 2008
Mailing address437 East Grant Street, Macomb, IL 61455-3352

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCOLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Graduated 1992 (34 years in practice)
Group practice Blessing Hospital — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Macomb