Individual provider Active NPI

Yashodhara Misra, MD

  • Obstetrics & Gynecology Physician
  • Poughkeepsie, NY
National Provider Identifier
1013021856
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
141726 Issued in NY
Practice address
19 Baker Ave
Ste 302
Poughkeepsie, NY 12601
Phone
(845) 483-5888
Fax
(845) 471-4381
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 141726 NY Primary

Addresses

Primary practice location

19 Baker Ave
Ste 302
Poughkeepsie, NY 12601

Mailing address

822 Route 82
Suite 310
Hopewell Junction, NY 12533-7373
Phone (845) 896-8233

Other identifiers 1

IdentifierTypeStateIssuer
00646117MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Woman'S Care LLC Obstetrics & Gynecology Past Accepting new patients
Premier Endocrinology PLLC Past Accepting new patients
Nuvance Health Medical Practice PC Obstetrics & Gynecology Past Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology PastSince Jan 1, 2002 Accepting new patients
Dr. Yashodhara Misra OB-GYN PC Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1013021856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 ROUTE 82",
            "address_2": "SUITE 310",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337373",
            "telephone_number": "845-896-8233",
            "fax_number": "845-896-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "STE 302",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-483-5888",
            "fax_number": "845-471-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "YASHODHARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "141726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00646117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.