Individual provider Active NPI

Misbah Y Palla, MD

  • Hospitalist Physician
  • Saint Paul, MN
National Provider Identifier
1255726261
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A159135 Issued in CA
Practice address
1414 Maryland Ave E
Saint Paul, MN 55106-2824
Phone
(651) 772-3461
Fax
(651) 772-5477
NPI assigned
Apr 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 62378 MN
Hospitalist Physician 208M00000X A159135 CA Primary

Addresses

Primary practice location

1414 Maryland Ave E
Saint Paul, MN 55106-2824

Mailing address

1414 Maryland Ave E
Saint Paul, MN 55106-2824
Phone (651) 772-3461

Other practice location 1

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 453-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20190325000440 CA Practitioner - Family Practice 5991089161 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Multicare Group IncGroup PAC ID 5294033734, 26 clinicians
Providence Saint Johns Medical FoundationGroup PAC ID 0840548624, 282 clinicians
Unified Health AssociatesGroup PAC ID 0749664910, 11 clinicians

Practice addresses (Care Compare)

1642 W Ave J
Lancaster, CA 93534-2814
Phone (661) 942-8463

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-5511

44215 15TH St W
Suite 103
Lancaster, CA 93534-5503
Phone (661) 948-4429

Hospital & facility affiliations

  • Newstart Home Health Inc Home health agency, Woodland Hills, CA, CCN 757145
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A159135CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Family Medicine Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 2, 2019 Accepting new patients
Unified Health Associates CurrentSince Sep 1, 2022 Accepting new patients
Horizon Multicare Group Inc CurrentSince Dec 9, 2018 Accepting new patients
Providence Saint Johns Medical Foundation Family Medicine CurrentSince Oct 25, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 2, 2019 Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Xiao Hua Wan Inc Past Accepting new patients
Saint John'S Health Clinic Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1642 W Avenue J
Lancaster, CA 93534
Phone (661) 942-8463

1206 W Avenue J
Ste 100
Lancaster, CA 93534
Phone (661) 948-4429

44215 15th St W
Ste 103
Lancaster, CA 93534
Phone (661) 948-4429

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

19197 Golden Valley Rd
Santa Clarita, CA 91387
Phone (800) 820-7813

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/adcf8c94-9b00-4842-a377-0e772d7d3145/

Organizations & group practices 9

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 2

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": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1255726261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062824",
            "telephone_number": "651-772-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062824",
            "telephone_number": "651-772-3461",
            "fax_number": "651-772-5477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042303",
            "country_code": "US",
            "telephone_number": "310-453-1324",
            "fax_number": "424-212-5921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALLA",
        "first_name": "MISBAH",
        "middle_name": "Y",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "62378",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A159135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.