Active NPI
Pranav Mishra, MD
- Internal Medicine Physician
- Albertville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17527
- Practice address
- 604 Smith Rd
Albertville, AL 35951-3412 - Phone
- (256) 891-1460
- Fax
- (256) 891-2640
- NPI assigned
- Jul 10, 2006
- Last updated
- Jan 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17527 | AL | Primary |
Addresses
Primary practice location
604 Smith Rd
Albertville, AL 35951-3412
Mailing address
PO Box 1397
Albertville, AL 35950-0023
Phone (256) 891-1460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Pelham Rd S
Suite 2
Jacksonville, AL 36265-3707
Phone (256) 435-7300
3206 W Meighan Blvd
Gadsden, AL 35904-1732
Phone (256) 547-2153
604 Smith Rd
Albertville, AL 35951-3412
Phone (256) 891-1460
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17527 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Med Care PC | Current | Accepting new patients | |
| Doctors Med Care of Fort Payne, P.C. | Current | Accepting new patients | |
| Doctors Med Care of Jacksonville, P.C. | Current | Accepting new patients | |
| Doctors Med Care of Gadsden, P.C. | Current | Accepting new patients | |
| Doctors Med Care of E Gadsden, P.C. | Current | Accepting new patients | |
| Southern Family Practice and Occupational Medicine, Inc. | Past | Accepting new patients |
Locations
604 Smith Rd
Albertville, AL 35951
Phone (256) 891-1460
1040 Glenn Blvd SW
Fort Payne, AL 35967
Phone (256) 845-6900
2108 Rainbow Dr
Gadsden, AL 35901
Phone (256) 547-0160
3206 W Meighan Blvd
Gadsden, AL 35904
Phone (256) 547-2153
1505 Pelham Rd S
Ste 2
Jacksonville, AL 36265
Phone (256) 435-7300
Interoperability endpoints
- pranav.mishra@docmed.direct.medconnect-inc.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Gadsden, AL
- NPI 1679504260
-
- Urgent Care Clinic/Center
- Albertville, AL
- NPI 1083643167
-
- Family Medicine Physician
- Fort Payne, AL
- NPI 1225065022
-
- Family Medicine Physician
- Jacksonville, AL
- NPI 1326079922
-
- Family Medicine Physician
- Gadsden, AL
- NPI 1992736581
-
- Primary Care Clinic/Center
- Anniston, AL
- NPI 1326077108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1609800531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1397",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359500023",
"telephone_number": "256-891-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 SMITH RD",
"city": "ALBERTVILLE",
"state": "AL",
"postal_code": "359513412",
"telephone_number": "256-891-1460",
"fax_number": "256-891-2640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHRA",
"first_name": "PRANAV",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "17527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albertville, AL
- Medical Asset Group, LLC
- Medical Centers Homecare, LLC (Medical Centers HomeCare)
- Michael a McEwen, M.D., P.a.
- Osalyn Shae Minor
- Andrea Leigh Minton, CCC SLP
- Bill Harold Mitchell, O.D.
- Modern Medical Concepts Homecare, Inc (MMC Homecare)
- Paul Morris, MD
- Ronald Thomas Mosley, LPC
- Heather Lynn Mostella, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.