Active NPI
Satya M Mishra, MD
- Gastroenterology Physician
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036-106636
- Practice address
- 17850 Kedzie Ave Ste 3500
Hazel Crest, IL 60429-2082 - Phone
- (708) 957-4011
- Fax
- (708) 957-4013
- NPI assigned
- Jun 16, 2005
- Last updated
- Jan 31, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036-106636 | IL | Primary |
Addresses
Primary practice location
17850 Kedzie Ave Ste 3500
Hazel Crest, IL 60429-2082
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
1969 W Ogden Ave
Chicago, IL 60612-3765
Phone (312) 864-7213
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smishra2@direct.ccprovider.org | Direct | Cook County |
| Direct Messaging Address | smishra416694@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone (708) 684-5340
17850 Kedzie Ave
Suite 2200
Hazel Crest, IL 60429-2056
Phone (708) 873-8476
17850 S Kedzie Ave
Suite 2100
Hazel Crest, IL 60429-2056
Phone (708) 684-5630
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.11 of 100
- Quality
- 74.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 85.45
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 59 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-106636 | IL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health & Hospitals Corp. | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Lawrence R Curry | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
29373 Network Pl
Chicago, IL 60673
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
17850 Kedzie Ave
Ste 3500
Hazel Crest, IL 60429
Phone (708) 799-8585
Interoperability endpoints
- smishra2@direct.ccprovider.org
- smishra416694@direct.myadvocateaurora.org
Organizations & group practices 7
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.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
dba Bethany Hospital
- Emergency Medicine Physician
- Chicago, IL
- NPI 1750315545
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba John H. Stroger, Jr. Hospital of Cook County
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1821278938
-
dba Lawrence R Curry DBA McKinley Medical Clinic
- Family Medicine Physician
- Mishawaka, IN
- NPI 1427005990
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate South Suburban Hospital
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
dba Advocate South Suburban Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1346245321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17850 KEDZIE AVE STE 3500",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292082",
"telephone_number": "708-957-4011",
"fax_number": "708-957-4013"
}
],
"practiceLocations": [
{
"address_1": "1969 W Ogden Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123765",
"country_code": "US",
"telephone_number": "312-864-7213",
"fax_number": "312-864-9624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHRA",
"first_name": "SATYA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036-106636",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smishra2@direct.ccprovider.org",
"affiliation": "Y",
"affiliationName": "Cook County",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1969 W. Ogden Ave.",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606123723",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smishra416694@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "17850 Kedzie Ave Ste 3500",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292082",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "17850 Kedzie Ave Ste 3500",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292082",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.