Individual provider Active NPI

Abinash Mishra, DPM

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1063999183
Registry record updated Jul 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P11719 Issued in NY
Practice address
1360 New York Ave Apt 6F
Brooklyn, NY 11210-6236
Phone
(305) 331-4416
NPI assigned
Jul 21, 2018
Last updated
Jul 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P11719 NY Primary

Addresses

Primary practice location

1360 New York Ave Apt 6F
Brooklyn, NY 11210-6236

Mailing address

1360 New York Ave Apt 6F
Brooklyn, NY 11210-6236
Phone (305) 331-4416

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
I20210727001862 MA Practitioner - Podiatry 4880097948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methuen Podiatry Associates LLPGroup PAC ID 7810900156, 4 clinicians
Methuen Podiatry Associates PCGroup PAC ID 1759883853, 5 clinicians
Methuen Podiatry Associates LLCGroup PAC ID 4284936527, 4 clinicians

Practice addresses (Care Compare)

386 Merrimack St
1B
Methuen, MA 01844-5886

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions1-10
Removal of nail tissue607
Removal or shaving of skin growth142
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P11719NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Methuen Podiatry Associates LLP Podiatrist CurrentSince Aug 23, 2021 Accepting new patients
Methuen Podiatry Associates PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

386 Merrimack St
Ste 1B
Methuen, MA 01844
Phone (978) 682-0382

Interoperability endpoints

  • Direct secure messaging: abinash.mishra@mpa.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJAFBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJAFBA/Endpoint/HJAFBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532131200000",
    "number": "1063999183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 NEW YORK AVE APT 6F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112106236",
            "telephone_number": "305-331-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 NEW YORK AVE APT 6F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112106236",
            "telephone_number": "305-331-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "ABINASH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-21",
        "last_updated": "2018-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "P11719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.