NPIMap

Individual provider Active NPI

Meen Misra, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1336134105
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7814 Issued in TX
Practice address
12221 N Mopac Expy
Austin Diagnostic Clinic
Austin, TX 78758-2401
Phone
(512) 901-4009
Fax
(512) 901-3909
NPI assigned
Sep 16, 2005
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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 L7814 TX Primary

Addresses

Primary practice location

12221 N Mopac Expy
Austin Diagnostic Clinic
Austin, TX 78758-2401

Mailing address

12221 N Mopac Expy
Austin Diagnostic Clinic
Austin, TX 78758-2401
Phone (512) 901-4009

Other identifiers 2

IdentifierTypeStateIssuer
163011301MedicaidTX
P01077209OtherTXRRMC PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MEEN.MISRA@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040217001084 TX Practitioner - Internal Medicine 5092600247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530

12429 Scofield Farms Dr
Austin, TX 78758-2640
Phone (737) 932-6829

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as individual
Quality
79.19
Promoting interoperability
100
Improvement activities
40
Cost
87.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
The Austin Diagnostic Clinic, PLLC CurrentSince Mar 15, 2012 Accepting new patients
Austin Diagnostic Clinic CurrentSince Mar 15, 2012 Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

Interoperability endpoints

  • Direct secure messaging: 11221-misra-meen@direct.leadingreach.com

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1336134105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "address_2": "AUSTIN DIAGNOSTIC CLINIC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4009",
            "fax_number": "512-901-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "address_2": "AUSTIN DIAGNOSTIC CLINIC",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4009",
            "fax_number": "512-901-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "MEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163011301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC PTAN",
            "identifier": "P01077209",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MEEN.MISRA@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12221 N Mopac Expy",
            "address_2": "AUSTIN DIAGNOSTIC CLINIC",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787582401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.