Active NPI
Roger Patrick Misasi, D.O.
- Interventional Pain Medicine Physician
- Pittsburg, KS
National Provider Identifier
1225063845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 05-20199
- Practice address
- 1606 N Broadway St
Pittsburg, KS 66762-3022 - Phone
- (620) 308-7251
- Fax
- (620) 308-7250
- NPI assigned
- Jul 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 0520199 | KS | |
| Interventional Pain Medicine Physician | 208VP0014X | 05-20199 | KS | Primary |
Addresses
Primary practice location
1606 N Broadway St
Pittsburg, KS 66762-3022
Mailing address
PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200013415 | Medicaid | MO | |
| 30004369010001 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.37 of 100
- Quality
- 60.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-20199 | KS | MD | Interventional Pain Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1225063845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3810",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648033810",
"telephone_number": "417-347-4662",
"fax_number": "417-347-9453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 N BROADWAY ST",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667623022",
"telephone_number": "620-308-7251",
"fax_number": "620-308-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISASI",
"first_name": "ROGER",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KS",
"license": "0520199",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "KS",
"license": "05-20199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200013415",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004369010001",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.