Individual provider Active NPI

Rahul Mishra, DPM

  • Foot & Ankle Surgery Podiatrist
  • Worcester, MA
National Provider Identifier
1003553942
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PDF8320 Issued in MA
Practice address
123 Summer St Ste 550
Worcester, MA 01608-1216
Phone
(508) 363-6868
NPI assigned
May 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PDF8320 MA Primary

Addresses

Primary practice location

123 Summer St Ste 550
Worcester, MA 01608-1216

Mailing address

123 Summer St Ste 550
Worcester, MA 01608-1216
Phone (508) 363-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250612000150 MA Practitioner - Podiatry 0446760037 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul a Cournoyer DPM PCGroup PAC ID 3375525702, 3 clinicians

Practice addresses (Care Compare)

123 Summer St
Suite 550
Worcester, MA 01608-1216
Phone (508) 363-6868

Hospital & facility affiliations

  • St Vincent Hospital Hospital, Worcester, MA, CCN 220176

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue70
Removal of nail tissue133
Removal or shaving of skin growth28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paul a. Cournoyer D.P.M., P.C. Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Michael J Biancamano PastSince Jul 1, 2025 Accepting new patients
Carol a. Barrette, M.D. P.C. Single Specialty Past Accepting new patients

Locations

72 Cudworth Rd
Ste 2
Webster, MA 01570
Phone (508) 363-6363

993 Providence Rd
Whitinsville, MA 01588
Phone (508) 363-6868

123 Summer St
#550
Worcester, MA 01608
Phone (508) 363-6868

123 Summer St
Ste 550
Worcester, MA 01608
Phone (508) 363-6868

Interoperability endpoints

  • Direct secure messaging: rahul.mishra.1@12878.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1003553942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST STE 550",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST STE 550",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "PDF8320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.