Individual provider Active NPI

Ankita Mishra, MD

  • Surgery Physician
  • Roswell, NM
National Provider Identifier
1336609163
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD2023-1680 Issued in NM
Practice address
601 W Country Club Rd Ste 201
Roswell, NM 88201-5225
Phone
(575) 627-0535
Fax
(575) 627-5590
NPI assigned
Mar 20, 2019
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD2023-1680 NM Primary

Addresses

Primary practice location

601 W Country Club Rd Ste 201
Roswell, NM 88201-5225

Mailing address

601 W Country Club Rd Ste 201
Roswell, NM 88201-5225
Phone (575) 627-0535

Other practice location 1

1942 Greenwood Valley Dr
Plant City, FL 33563-6995
Phone (813) 599-2686

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ankita.mishra.1@1610.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240814004840 NM Practitioner - General Surgery 0345788816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Clinic CorpGroup PAC ID 9436062759, 29 clinicians

Practice addresses (Care Compare)

405 W Country Club Rd
Roswell, NM 88201-5209
Phone (575) 622-8170

601 W Country Club Rd
Suite 101
Roswell, NM 88201-5227
Phone (575) 622-8170

601 W Country Club Rd
Suite 202
Roswell, NM 88201-5224
Phone (575) 624-4545

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Roswell Clinic Corp CurrentSince Sep 1, 2024 Accepting new patients
Roswell Clinic Corp Surgery CurrentSince Sep 1, 2024 Accepting new patients

Locations

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

601 W Country Club Rd
Ste 201
Roswell, NM 88201
Phone (505) 627-0535

Interoperability endpoints

  • Direct secure messaging: ankita.mishra@hca4.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1336609163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W COUNTRY CLUB RD STE 201",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015225",
            "telephone_number": "575-627-0535",
            "fax_number": "575-627-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W COUNTRY CLUB RD STE 201",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015225",
            "telephone_number": "575-627-0535",
            "fax_number": "575-627-5590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1942 Greenwood Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Plant City",
            "state": "FL",
            "postal_code": "335636995",
            "country_code": "US",
            "telephone_number": "813-599-2686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "ANKITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "MD2023-1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ankita.mishra.1@1610.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "601 W Country Club Rd Ste 201",
            "city": "Roswell",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882015225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.