Shrutisudha Mishra, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

70317 Issued in AZ

Practice address

710 W Bell Rd
Phoenix, AZ 85023-3507

Phone

(800) 233-3264

NPI assigned

Apr 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Practice roles

Locations

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.

• Cigna Health Care of Arizona Inc.

  dba CMG Clyde Wright Urgent Care, CMG Clyde Wright AHC, Phoenix Central UC

  • Urgent Care Clinic/Center
  • Phoenix, AZ
  • NPI 1245338235
  NPD
• Cigna Health Care of Arizona Inc.

  dba CMG Paseo Urgent Care, CMG Paseo AHC

  • Urgent Care Clinic/Center
  • Glendale, AZ
  • NPI 1356445365
  NPD
• Cigna Health Care of Arizona Inc.

  dba EVERNORTH Care Group Paradise Valley Multi-Specialty Center

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1619048048
  NPD
• Cigna Health Care of Arizona Inc.

  dba Clyde Wright Center, CMG Phx Central MultiSpec Cntr

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1942371679
  NPD
• Cigna Healthcare of Arizona, Inc.

  dba EVERNORTH Care Group

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1073626404
  NPD
• Cigna Healthcare of Arizona, Inc.

  dba Arrowhead Ranch Medical Office; Arrowhead Ranch

  • Multi-Specialty Clinic/Center
  • Peoria, AZ
  • NPI 1730417676
  NPD

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1346860558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233507",
            "telephone_number": "800-233-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W BELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850233507",
            "telephone_number": "800-233-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "SHRUTISUDHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "70317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Miserendino, MOTR/L
• Misha Faustina, M.D. PC (mishafaustinamd)
• Kenneth J Mishark, MD
• Rick E Mishler, M.D.
• Kiran Mishra, MD
• Danielle Nicole Misiak, LPC
• Mary Frances Misiak, FNP-BC
• Amanda S Misinco, O.D.
• Cori A Misner, P.T., D.P.T
• Lopa M Misra, D.O.

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.