Individual provider Active NPI

Tushar Mishra, M.D./MBBS

  • Interventional Cardiology Physician
  • Birmingham, AL
National Provider Identifier
1629504873
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
51021 Issued in AL
Practice address
801 Princeton Ave SW Ste 707
Birmingham, AL 35211-1395
Phone
(205) 780-4330
Fax
(205) 780-7775
NPI assigned
May 10, 2017
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.51021 AL
Cardiovascular Disease Physician 207RC0000X 51021 AL
Interventional Cardiology Physician 207RI0011X 51021 AL Primary

Addresses

Primary practice location

801 Princeton Ave SW Ste 707
Birmingham, AL 35211-1395

Mailing address

801 Princeton Ave SW Ste 707
Birmingham, AL 35211-1395
Phone (205) 780-4330

Other identifiers 1

IdentifierTypeStateIssuer
359134MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250619002056 AL Practitioner - Cardiovascular Disease (Cardiology) 6002180072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology , PCGroup PAC ID 6204723752, 11 clinicians

Practice addresses (Care Compare)

801 Princeton Ave SW
Suite 707
Birmingham, AL 35211-1309
Phone (205) 780-4330

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51021ALMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology , PC Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Detroit Medical Center Past Accepting new patients

Locations

801 Princeton Ave SW
Ste 707
Birmingham, AL 35211
Phone (205) 780-4330

1803 Park View Dr
Ste 101
Cullman, AL 35058
Phone (205) 780-4330

Interoperability endpoints

  • Direct secure messaging: tmishra867469@direct.hfhs.org
  • Direct secure messaging: tushar.mishra.1@19711.direct.athenahealth.com

Organizations & group practices 2

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.

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629504873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW STE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111395",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PRINCETON AVE SW STE 707",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111395",
            "telephone_number": "205-780-4330",
            "fax_number": "205-780-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "TUSHAR",
        "credential": "M.D./MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD.51021",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "51021",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "51021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359134",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.