Individual provider Active NPI

Vijayendra Mishra, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1093059040
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R6629 Issued in TX
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

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181107002255 TX Practitioner - Anesthesiology 7810209616 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Lone Star Anesthesia Partners PLLCGroup PAC ID 4880072636, 58 clinicians

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 Hospital, San Antonio, TX, CCN 670055
  • Legent Orthopedic + Spine Hospital, San Antonio, TX, CCN 670112

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Anesthesiology CurrentSince Sep 1, 2018 Accepting new patients
Endo Sedation LLC Anesthesiology CurrentSince Sep 1, 2018 Accepting new patients
Endo Sedation LLC Anesthesiology Current Accepting new patients
Lone Star Anesthesia Partners PLLC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Jun 1, 2022 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Jan 7, 2019 Accepting new patients
Tejas Anesthesia PLLC Anesthesiology CurrentSince Jan 7, 2019 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.

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": "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

Verify at the official NPI Registry.