Individual provider Active NPI

Amaresh Misra, M.D.

  • Family Medicine Physician
  • Nashville, TN
National Provider Identifier
1508928458
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD25437 Issued in TN
Practice address
1916 Patterson St
Nashville, TN 37203-2120
Phone
(615) 329-0403
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD25437 TN Primary

Addresses

Primary practice location

1916 Patterson St
Nashville, TN 37203-2120

Mailing address

1916 Patterson Street
Nashville, TN 37203
Phone (615) 329-0406

Other identifiers 1

IdentifierTypeStateIssuer
3084346MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111227000673 AL Practitioner - Family Practice 1153597091 Reassigns benefits to 1 organization
I20121026000508 TN Practitioner - Family Practice 1153597091 Reassigns benefits to 1 organization
Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Tennessee PCGroup PAC ID 5395924823, 30 clinicians

Practice addresses (Care Compare)

355 Pleasant Grove Rd
Suite 1400
Mount Juliet, TN 37122-3942
Phone (615) 773-7933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25437TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Current Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Mar 12, 2013 Accepting new patients
Afc Physicians of Tennessee, PC Family Medicine CurrentSince May 11, 2020 Accepting new patients
Afc Physicians of Tennessee, PC Current Accepting new patients
American Family Care, LLC CurrentSince Mar 12, 2013 Accepting new patients
Afc Physicians of Tennessee, PC Past Accepting new patients

Locations

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

355 Pleasant Grove Rd
Ste 1400
Mt Juliet, TN 37122
Phone (615) 773-7933

355 Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (615) 773-7933

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1508928458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON STREET",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37203",
            "telephone_number": "615-329-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 PATTERSON ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032120",
            "telephone_number": "615-329-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "AMARESH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD25437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3084346",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.