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

Kristofer J. Mitchell, MD

Individual provider Surgical Critical Care Physician · NPI 1205040664

Kristofer J. Mitchell, MD is a Critical Care (Intensivists) in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2002, 24 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2007
Specialties on file
3
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

800 N 1st St
Springfield, IL 62702-3719
Phone: (217) 528-7541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 036120394 (IL)
Surgical Critical Care Physician Taxonomy 2086S0102X · Licence 036120394 (IL)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 036120394 (IL)

Record details

NPI number1205040664
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESJanuary 31, 2022
Mailing address1025 S 6th St, Springfield, IL 62703-2403

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesGENERAL SURGERY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Intensive Care Consortium Inc — 483 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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