NPIMap

Individual provider Active NPI

Subhash Mishra, MD

  • Family Medicine Physician
  • Sonoma, CA
National Provider Identifier
1285695437
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C51768 Issued in CA
Practice address
270 Perkins Street
Sonoma, CA 95476-6955
Phone
(707) 938-3131
Fax
(707) 938-3678
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C51768 CA Primary

Addresses

Primary practice location

270 Perkins Street
Sonoma, CA 95476-6955

Mailing address

270 Perkins Street
Sonoma, CA 95476-6955
Phone (707) 938-3131

Other identifiers 1

IdentifierTypeStateIssuer
YYY48627YMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070523000188 CA Practitioner - Family Practice 4688602360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sonoma Valley Health Care DistrictGroup PAC ID 4082980230, 6 clinicians

Practice addresses (Care Compare)

270 Perkins St
Sonoma, CA 95476-6955
Phone (707) 938-3131

Hospital & facility affiliations

  • By the Bay Health Home health agency, Sonoma, CA, CCN 557041
  • Accentcare Home Health of California, Inc Home health agency, San Ramon, CA, CCN 057517
  • Athome Healthcare Team, LLC Home health agency, American Canyon, CA, CCN 059644
  • Mary'S Help Home Health Services, Inc Home health agency, Vallejo, CA, CCN 059143
  • BLC Homehealth Inc Home health agency, San Leandro, CA, CCN 053137
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136
  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Merit-based Incentive Payment System (MIPS)

Final score
83.61 of 100Reported as individual
Quality
85.42
Improvement activities
40
Cost
64.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C51768CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Valley Health Care District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: subhash.mishra.1@14649.direct.athenahealth.com

Organizations & group practices 2

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 11

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1285695437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 PERKINS STREET",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766955",
            "telephone_number": "707-938-3131",
            "fax_number": "707-938-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 PERKINS STREET",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766955",
            "telephone_number": "707-938-3131",
            "fax_number": "707-938-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "SUBHASH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C51768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY48627Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.