Active NPI
Bibhuti B Mishra, MD
- Neurology Physician
- McLean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0101047021
- Practice address
- 6845 Elm St Ste 700
MC Lean, VA 22101-3851 - Phone
- (703) 356-1105
- Fax
- (703) 356-0970
- NPI assigned
- Jun 22, 2006
- Last updated
- Dec 5, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0101047021 | VA | Primary |
Addresses
Primary practice location
6845 Elm St Ste 700
MC Lean, VA 22101-3851
Mailing address
PO Box 791093
Baltimore, MD 21279-1093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007101741 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-4100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Northwell Health | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
611 Northern Blvd
Ste 150
Great Neck, NY 11021
Phone (516) 325-7000
300 Community Dr
Manhasset, NY 11030
300 Community Dr
Fl 1
Manhasset, NY 11030
Phone (516) 562-2252
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- bibhutimishra@northwell.allscriptsdirect.net
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.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Rehabilitation Hospital Unit
- Glen Cove, NY
- NPI 1619336260
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1215973540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791093",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212791093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6845 ELM ST STE 700",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221013851",
"telephone_number": "703-356-1105",
"fax_number": "703-356-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHRA",
"first_name": "BIBHUTI",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101047021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007101741",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.