Active NPI
Nishant Kumar Mishra, MBBS PHD
- Vascular Neurology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 68739
- Practice address
- 800 Howard Ave
New Haven, CT 06519-1369 - Phone
- (203) 737-1057
- Fax
- (203) 737-4382
- NPI assigned
- Mar 22, 2016
- Last updated
- Jul 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 68739 | CT | Primary |
| Neurology Physician | 2084N0400X | 68739 | CT |
Addresses
Primary practice location
800 Howard Ave
New Haven, CT 06519-1369
Mailing address
PO Box 208018
New Haven, CT 06520-8018
Phone (203) 737-1057
Other practice location 1
1430 Tulane Ave
#8065
New Orleans, LA 70112-2632
Phone (504) 988-2348
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Neurology | Current | Accepting new patients |
| Yale University | Current | Accepting new patients |
Locations
50 Division St
New Haven, CT 06511
Phone (203) 785-2140
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Interoperability endpoints
- nmishra519486@direct.ynhh.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1023470721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208018",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065208018",
"telephone_number": "203-737-1057",
"fax_number": "203-737-4382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 HOWARD AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191369",
"telephone_number": "203-737-1057",
"fax_number": "203-737-4382"
}
],
"practiceLocations": [
{
"address_1": "1430 Tulane Ave",
"address_2": "#8065",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122632",
"country_code": "US",
"telephone_number": "504-988-2348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHRA",
"first_name": "NISHANT",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MBBS PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2021-07-29",
"certification_date": "2021-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "CT",
"license": "68739",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "68739",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.