Nilamadhab Mishra, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

200000903 Issued in NC

Practice address

275 Executive Park Blvd Ste 601
Winston Salem, NC 27103

Phone

(336) 955-1838

Fax

(336) 955-1842

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Rheumatology

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACFFAD/Endpoint/ACFFAD

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.

• Lancet Rheumatology and Sara Lupus Clinic, PLLC

  • Rheumatology Physician
  • Winston Salem, NC
  • NPI 1194173633
  Medicare reassignment NPD Authorized official
• Carolina Specialty Care, PA

  • Legal Medicine
  • Statesville, NC
  • NPI 1275596439
  Medicare reassignment NPD
• Lancet Rheumatology and Sara Lupus Clinic

  • Rheumatology Physician
  • Winston Salem, NC
  • NPI 1255204368
  NPD Authorized official

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1104801232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 EXECUTIVE PARK BLVD STE 601",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031548",
            "telephone_number": "336-955-1838",
            "fax_number": "336-955-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 EXECUTIVE PARK BLVD STE 601",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-955-1838",
            "fax_number": "336-955-1842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "NILAMADHAB",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NC",
            "license": "200000903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Angel Miranda, MD
• Saeid Mirzai, DO
• Majid Mirzazadeh, MD
• Jennifer Christina Mischler, LCSW
• Girish Mishra, MD
• Pallavi Mishra, MD
• Pranjal Mishra, MD
• Engy Missaiel, MD
• Daniel Paul Mistrot, MD
• Jon-Erik Misz, MDIV, LCSWA

• Rheumatology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Rheumatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.

Verify at the official NPI Registry.