Active NPI
Uday S Mishra, MD
- Internal Medicine Physician
- Ocala, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME 73537
- 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, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME 73537 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine State Medical Clinic PA | Internal Medicine | Current | Accepting new patients |
| Ocala Health and Wellness, LLC | Current | 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
- https://fhir4.healow.com/fhir/r4/DEGCAA/Endpoint/DEGCAA
- 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.
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- Internal Medicine Physician
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.