Individual provider Active NPI

Nimisha Mishra-Shukla, MD

  • Infectious Disease Physician
  • Walnut Creek, CA
National Provider Identifier
1487843942
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A88446 Issued in CA
Practice address
365 Lennon LN Ste 200
Walnut Creek, CA 94598-5912
Phone
(925) 947-2334
Fax
(925) 947-5889
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A88446 CA Primary

Addresses

Primary practice location

365 Lennon LN Ste 200
Walnut Creek, CA 94598-5912

Mailing address

365 Lennon LN Ste 200
Walnut Creek, CA 94598-5912
Phone (925) 947-2334

Other names 1

  • Nimisha Mishra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080121000151 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 1658452263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians
John Muir Trauma Physicians Billing ServiceGroup PAC ID 3476542515, 111 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

365 Lennon LN
Walnut Creek, CA 94598-5912

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523
  • Sutter Solano Medical Center Hospital, Vallejo, CA, CCN 050101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88446CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Dec 1, 2021 Accepting new patients
Bass Medical Group Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group CurrentSince Dec 1, 2021 Accepting new patients
Epic Care CurrentSince Feb 13, 2018 Accepting new patients
John Muir Health Past Accepting new patients
Bass Medical Group Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
Detlef Ehling MD, Inc. Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600

2345 Country Hills Dr
Ste 100
Antioch, CA 94509

3301 Clayton Rd
Concord, CA 94519
Phone (925) 602-2370

2500 Alhambra Ave
Martinez, CA 94553
Phone (925) 370-5000

400 Taylor Blvd
Ste 201
Pleasant Hill, CA 94523
Phone (510) 783-6865

13847 E 14th St
Ste 217
San Leandro, CA 94578
Phone (510) 483-2555

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

365 Lennon Ln
Ste 200
Walnut Creek, CA 94598
Phone (925) 947-2334

355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627

Interoperability endpoints

  • Direct secure messaging: nmishra230819@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA
  • Direct secure messaging: nmishra16670@ehr.johnmuirhealth.com

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1487843942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985912",
            "telephone_number": "925-947-2334",
            "fax_number": "925-947-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985912",
            "telephone_number": "925-947-2334",
            "fax_number": "925-947-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA-SHUKLA",
        "first_name": "NIMISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A88446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIMISHA",
            "last_name": "MISHRA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.