Individual provider Active NPI

Cynthia O Misumi, MD

  • Internal Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1215995188
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01059250A Issued in IN
Practice address
2700 Martin Luther King Jr St
Indianapolis, IN 46208-5019
Phone
(317) 931-4300
Fax
(317) 931-4330
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01059250A IN Primary

Addresses

Primary practice location

2700 Martin Luther King Jr St
Indianapolis, IN 46208-5019

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939

Other identifiers 1

IdentifierTypeStateIssuer
200493610MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmisumi14357@direct.eskenazihealth.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050126001046 IN Practitioner - Internal Medicine 5193775211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0000

Hospital & facility affiliations

  • Elara Caring Home health agency, Kokomo, IN, CCN 157586
  • Eskenazi Health Hospital, Indianapolis, IN, CCN 150024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.43
Promoting interoperability
100
Improvement activities
40
Cost
82.74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Health and Hospital Corporation of Marion County CurrentSince Jan 25, 2014 Accepting new patients
Eskenazi Medical Group Inc CurrentSince Jul 1, 2004 Accepting new patients
The Health and Hospital Corporation of Marion County Current Accepting new patients
The Health and Hospital Corporation of Marion County CurrentSince Jan 25, 2014 Accepting new patients
Eskenazi Medical Group Inc Internal Medicine CurrentSince Jul 1, 2004 Accepting new patients

Locations

1001 W 10th St
Indianapolis, IN 46202
Phone (317) 630-6175

720 Eskenazi Ave
Fl 2
Indianapolis, IN 46202
Phone (317) 278-5316

2732 W Michigan St
Indianapolis, IN 46222
Phone (317) 554-4600

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

2700 Martin Luther King Jr St
Indianapolis, IN 46208
Phone (317) 931-4300

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

Interoperability endpoints

  • Direct secure messaging: cmisumi14357@direct.eskenazihealth.edu

Organizations & group practices 5

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 3

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1215995188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637764",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637764",
            "telephone_number": "317-880-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MARTIN LUTHER KING JR ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462085019",
            "telephone_number": "317-931-4300",
            "fax_number": "317-931-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISUMI",
        "first_name": "CYNTHIA",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01059250A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200493610",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmisumi14357@direct.eskenazihealth.edu",
            "affiliation": "N",
            "address_1": "2700 Martin Luther King Jr St",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462085019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.