Individual provider Active NPI

Uday S Mishra, MD

  • Internal Medicine Physician
  • Ocala, FL
National Provider Identifier
1275636474
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 73537 Issued in FL
Practice address
1305 SE 25TH Loop
Suite 103
Ocala, FL 34471-1030
Phone
(352) 369-5440
Fax
(352) 369-4249
NPI assigned
Sep 6, 2006
Last updated
Jun 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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 ME 73537 FL Primary

Addresses

Primary practice location

1305 SE 25TH Loop
Suite 103
Ocala, FL 34471-1030

Mailing address

1305 SE 25TH Loop Ste 103
Suite 103
Ocala, FL 34471-6090
Phone (352) 369-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100805001175 FL Practitioner - Internal Medicine 4789652108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6075 SW 73Rd St Rd
Ocala, FL 34476-6464
Phone (352) 369-5440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 73537FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Medical Clinic PA Internal Medicine CurrentSince Oct 1, 2000 Accepting new patients
Ocala Health and Wellness, LLC CurrentSince Dec 1, 2024 Accepting new patients
Sunshine State Medical Clinic PA Internal Medicine Current Accepting new patients

Locations

1305 SE 25th Loop
#103
Ocala, FL 34471
Phone (352) 369-5440

6075 SW 73rd Street Rd
Ocala, FL 34476
Phone (352) 369-5440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEGCAA/Endpoint/DEGCAA
  • Direct secure messaging: uday.mishra@ssmc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1275636474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 SE 25TH LOOP STE 103",
            "address_2": "SUITE 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716090",
            "telephone_number": "352-369-5440",
            "fax_number": "352-369-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SE 25TH LOOP",
            "address_2": "SUITE 103",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344711030",
            "telephone_number": "352-369-5440",
            "fax_number": "352-369-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "UDAY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 73537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.