Vivek Mishra, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01060036 Issued in IN

Practice address

1007 Lincolnway
Laporte, IN 46350-2301

Phone

(219) 326-2305

Fax

(219) 326-2605

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 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

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vein Associates of Northwest Indiana LLCGroup PAC ID 3072744002, 3 clinicians

Radiologic Associates of Northwest Indiana PCGroup PAC ID 5890754469, 11 clinicians

Lutheran HBP Services LLCGroup PAC ID 1254837834, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Health - Porter Hospital, Valparaiso, IN, CCN 150035
• Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• Northwest Health - Starke Hospital, Knox, IN, CCN 150102

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12167/brand/1/csg/1/fhir/r4
• Direct secure messaging: vivek.mishra.1@12167.direct.athenahealth.com

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.

• Lutheran HBP Services, LLC

  • Anesthesiology Physician
  • Bluffton, IN
  • NPI 1417847484

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Radiologic Associates of Northwest Indiana, PC

  • Diagnostic Radiology Physician
  • Valparaiso, IN
  • NPI 1235186867
  Medicare reassignment Care Compare group NPD
• Vein Associates of Northwest Indiana LLC

  • Clinic/Center
  • Merrillville, IN
  • NPI 1801217856
  Medicare reassignment Care Compare group NPD
• Midwest Innovative Pain Management PC

  • Interventional Pain Medicine Physician
  • Dyer, IN
  • NPI 1487239067
  Medicare reassignment NPD
• Pulaski Memorial Hospital

  • Critical Access Hospital
  • Winamac, IN
  • NPI 1306928213
  Medicare reassignment NPD
• Pulaski Memorial Hospital

  • Rural Health Clinic/Center
  • Winamac, IN
  • NPI 1740403419
  Medicare reassignment NPD
• Indiana Regional P E T and Imaging Center, LLC

  • Radiology Clinic/Center
  • Merrillville, IN
  • NPI 1750471470
  NPD
• Pulaski Memorial Hospital

  dba Healthwin Health & Rehabilitation

  • Skilled Nursing Facility
  • South Bend, IN
  • NPI 1093750119
  NPD
• Pulaski Memorial Hospital

  • General Practice Physician
  • Knox, IN
  • NPI 1528626652
  NPD
• Southlake MRI & Diagnostic Center LLC

  • Radiology Clinic/Center
  • Merrillville, IN
  • NPI 1134178148
  NPD
• Charming Skin Vein Center LLC

  • Internal Medicine Physician
  • Dyer, IN
  • NPI 1427771237
  NPD (past)
• Associated St James Radiologists SC

  • Diagnostic Radiology Physician
  • Chicago Heights, IL
  • NPI 1982709135
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Knox Hospital Company LLC

  dba Northwest Health- Starke

  • Rural Acute Care Hospital
  • Knox, IN
  • NPI 1679948319
  Care Compare affiliation
• La Porte Hospital Company LLC

  dba Northwest Health-La Porte

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1750746285
  Care Compare affiliation
• Porter Hospital LLC

  dba Northwest Health-Porter

  • General Acute Care Hospital
  • Valparaiso, IN
  • NPI 1215151154
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255356085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LINCOLNWAY",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "463502301",
            "telephone_number": "219-326-2305",
            "fax_number": "219-326-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LINCOLNWAY",
            "city": "LAPORTE",
            "state": "IN",
            "postal_code": "463502301",
            "telephone_number": "219-326-2305",
            "fax_number": "219-326-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "VIVEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01060036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Joseph Mihalo, DDS
• Ashlie Miller, MSN, FNP-BC
• Jeffrey S. Miller, D.D.S.
• Robin Miller, MSW, LCSW, ACSW
• Kimberly Minich
• Tommy Mislenkov, M.D.
• Sue E Mohlke, BSN, RN, CSA
• Kelly Molenda
• Mitchell Steven Molenda, NP
• Ken Monahan, OTR

• Diagnostic Radiology Physician in La Porte, IN
• Providers in La Porte, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.