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

Mikel Dashtipour, PA

Individual provider Physician Assistant · NPI 1215495650

Mikel Dashtipour, PA is a Physician Assistant in Springfield, Missouri. Qualified in 2018, 8 years ago. Practices with Lester E Cox Medical Centers, a 249-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
8
Licensed in
MO
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1001 E Primrose St
Springfield, MO 65807-5155
Phone: (417) 875-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2019007281 (MO)

Record details

NPI number1215495650
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESMarch 5, 2019
Mailing addressPo Box 9007, Springfield, MO 65808-9007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lester E Cox Medical Centers — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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