Active NPI
Vijayendra Mishra, MD
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- R6629
- Practice address
- 12222 Merit Dr Ste 600
Dallas, TX 75251-3294 - Phone
- (972) 715-5000
- Fax
- (972) 715-9976
- NPI assigned
- Nov 15, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 53831 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Anesthesiology Physician | 207L00000X | R6629 | TX | Primary |
Addresses
Primary practice location
12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (972) 233-1999
Other practice location 1
333 Cedar St
TMP 302
New Haven, CT 06510-3206
Phone (203) 737-5828
Other practice location 2
6606 Lbj Fwy Ste 200
Dallas, TX 75240-6524
Phone (972) 715-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Anesthesiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 Central Expy N
Suite 2100
Allen, TX 75013-6120
Phone (888) 324-7432
423 Treeline Park
Suite 202
San Antonio, TX 78209-2078
Phone (910) 949-6000
Hospital & facility affiliations
- Methodist Hospital Stone Oak
- Legent Orthopedic + Spine
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endo Sedation LLC | Anesthesiology | Current | Accepting new patients |
| Endo Sedation LLC | Anesthesiology | Current | Accepting new patients |
| Endo Sedation LLC | Anesthesiology | Current | Accepting new patients |
| Lone Star Anesthesia Partners PLLC | Anesthesiology | Current | Accepting new patients |
| Orthomed Staffing LLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
| Tejas Anesthesia PLLC | Anesthesiology | Current | Accepting new patients |
Locations (25 of 29)
1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313
1105 Central Expy N
Ste 2100
Allen, TX 75013
Phone (972) 747-6401
112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720
110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006
2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000
7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000
1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671
5500 Frisco Square Blvd
Frisco, TX 75034
Phone (214) 618-0500
180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171
2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133
7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
4242 Medical Dr
Ste 3100
San Antonio, TX 78229
Phone (210) 477-9555
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
5330 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 877-8000
19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355
1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000
4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584
423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000
19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100
1139 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 638-2000
5510 Presidio Pkwy
Ste 100
San Antonio, TX 78249
Phone (210) 583-7200
18414 US Highway 281 N
Ste 114
San Antonio, TX 78259
Phone (210) 450-4155
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1124760996
-
- Anesthesiology Physician
- Addison, TX
- NPI 1225514276
-
- Anesthesiology Physician
- League City, TX
- NPI 1659383305
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1659027910
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1568848059
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1093059040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12222 MERIT DR STE 600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752513294",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976"
}
],
"practiceLocations": [
{
"address_1": "333 Cedar St",
"address_2": "TMP 302",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "065103206",
"country_code": "US",
"telephone_number": "203-737-5828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6606 Lbj Fwy Ste 200",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752406524",
"country_code": "US",
"telephone_number": "972-715-5000",
"fax_number": "972-715-9976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHRA",
"first_name": "VIJAYENDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "53831",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "R6629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.