Hara P Misra, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

17 MD14933A Issued in AZ

Practice address

11000 N Scottsdale Rd
Suite 190
Scottsdale, AZ 85254-6130

Phone

(480) 860-1997

Fax

(480) 860-8948

NPI assigned

Feb 8, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1336112507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "SUITE 190",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "480-860-1997",
            "fax_number": "480-860-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "SUITE 190",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "480-860-1997",
            "fax_number": "480-860-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "HARA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "17 MD14933A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "860527757",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jin Li Mirow
• Lorraine Mischke, LASAC
• Chandana Mishra, MD
• Nitin Mishra, M.D.
• Sneha Mishra, MD
• Tejal Misra, LCSW
• Mission Laboratory Services LLC
• Mission Treatment Centers, Inc.
• Mississippi Urgent Care Provider Network, LLC
• Missouri Urgent Care Provider Network, LLC

• Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.