Active NPI
Pratishtha Mishra, BDS, MDS, MS
- Orofacial Pain Dentistry
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orofacial Pain Dentistry
- License
- 136.000287
- Practice address
- 801 S Paulina St
Chicago, IL 60612-7210 - Phone
- (312) 355-1229
- NPI assigned
- Jun 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orofacial Pain Dentistry | 1223X2210X | 136.000287 | IL | Primary |
| Dentist | 122300000X | 136.000287 | IL |
Addresses
Primary practice location
801 S Paulina St
Chicago, IL 60612-7210
Mailing address
801 S Paulina St
Chicago, IL 60612-7210
Phone (312) 996-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4862 Dickenson Hwy
PO Box 1810
Clintwood, VA 24228-1810
770 Rose St
Lexington, KY 40536-0297
Phone (859) 323-3368
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 78.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9684 | KY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Current | Accepting new patients | |
| University of Kentucky | Dentist | Current | Accepting new patients |
Locations
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
770 Rose St
Lexington, KY 40536
Phone (859) 323-3368
740 S Limestone
Lexington, KY 40536
Phone (859) 257-3533
Interoperability endpoints
- pmishra25333@ukhcdirect.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
-
- Physical Therapist
- Clintwood, VA
- NPI 1871513788
-
- Dentist
- Lexington, KY
- NPI 1306929385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1477112043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127210",
"telephone_number": "312-996-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127210",
"telephone_number": "312-355-1229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHRA",
"first_name": "PRATISHTHA",
"credential": "BDS, MDS, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-07",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X2210X",
"taxonomy_group": "",
"desc": "Dentist, Orofacial Pain",
"state": "IL",
"license": "136.000287",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "136.000287",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.