Individual provider Active NPI

Paul Mishyn, DO

  • Diagnostic Radiology Physician
  • Roseville, CA
National Provider Identifier
1295239143
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A22328 Issued in CA
Practice address
1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941
Phone
(916) 535-2030
Fax
(916) 536-3061
NPI assigned
Mar 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A22328 CA Primary

Addresses

Primary practice location

1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20240606003615 CA Practitioner - Diagnostic Radiology 4183971427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1380 Lead Hill Blvd
Suite 100
Roseville, CA 95661-2997
Phone (916) 535-2030

155 Glasson Way
Suite L 10
Grass Valley, CA 95945-5723
Phone (530) 274-6677

1635 Creekside Dr
Suite 100
Folsom, CA 95630-3830
Phone (916) 986-5200

1650 Creekside Dr
Folsom, CA 95630-3400
Phone (916) 983-7476

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

2081 Bronze Star Dr
Woodland, CA 95776-5423
Phone (530) 668-2600

2110 Professional Dr
Roseville, CA 95661-3779

2528 Sister Mary Columba Dr
Red Bluff, CA 96080-4327
Phone (530) 528-6100

2580 Sister Mary Columba Dr
Suite 200
Red Bluff, CA 96080-4327
Phone (530) 528-6150

3000 Q St
Sacramento, CA 95816-7058
Phone (916) 560-0319

3301 C St
Suite 500
Sacramento, CA 95816-3372
Phone (916) 556-3300

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4414

6305 Coyle Ave
Carmichael, CA 95608-0438
Phone (916) 535-2000

632 W Gibson Rd
Woodland, CA 95695-5169
Phone (530) 668-2600

6501 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 537-5190

6511 Coyle Ave
Carmichael, CA 95608-0306
Phone (916) 556-3300

6555 Coyle Ave
Carmichael, CA 95608-0302

7500 Hospital Dr
Sacramento, CA 95823-5403
Phone (916) 423-6176

Hospital & facility affiliations

  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590
  • Mercy Hospital of Folsom Hospital, Folsom, CA, CCN 050414
  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22328CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince May 27, 2024 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Yale University Diagnostic Radiology Current Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Dignity Health Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients
Catholic Healthcare West Past Accepting new patients
Yale New Haven Hospital Past Accepting new patients

Locations

6511 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5470

6305 Coyle Ave
Carmichael, CA 95608
Phone (916) 961-6920

7115 Greenback Ln
Fl 1
Citrus Heights, CA 95621
Phone (916) 536-2442

8220 Wymark Dr
Ste 101
Elk Grove, CA 95757
Phone (916) 667-0750

1050 Iron Point Rd
Folsom, CA 95630
Phone (916) 365-8484

1635 Creekside Dr
Ste 101
Folsom, CA 95630
Phone (916) 893-5611

1635 Creekside Dr
Ste 100
Folsom, CA 95630
Phone (916) 986-5200

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030

2110 Professional Dr
Ste 190
Roseville, CA 95661
Phone (916) 787-0404

3301 C St
Ste 500
Sacramento, CA 95816
Phone (916) 556-3300

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

55 Lock St
New Haven, CT 06511
Phone (203) 432-0076

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

Organizations & group practices 11

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 5

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": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1295239143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612941",
            "telephone_number": "916-535-2030",
            "fax_number": "916-536-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHYN",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A22328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.