Individual provider Active NPI

Vineet Mishra, MD

  • MOHS-Micrographic Surgery Physician
  • Nashville, TN
National Provider Identifier
1639337181
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A120997 Issued in CA
Practice address
3803 Bedford Ave Ste 102
Nashville, TN 37215-2565
Phone
(615) 813-0145
NPI assigned
May 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X 61314 TN
Procedural Dermatology Physician 207NS0135X A120997 CA
MOHS-Micrographic Surgery Physician 207ND0101X A120997 CA Primary
Dermatology Physician 207N00000X A120997 CA
Dermatology Physician 207N00000X 61314 TN
MOHS-Micrographic Surgery Physician 207ND0101X 61314 TN

Addresses

Primary practice location

3803 Bedford Ave Ste 102
Nashville, TN 37215-2565

Mailing address

3803 Bedford Ave Ste 102
Nashville, TN 37215-2565
Phone (615) 249-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200804003646 TN Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 3971754532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Vanderbilt University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Dermatology PLCGroup PAC ID 4284021213, 2 clinicians

Practice addresses (Care Compare)

520 Duke Dr
Suite 300
Franklin, TN 37067-2948
Phone (615) 249-4700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of skin lesions2445
Removal of skin cancer217
Skin biopsy330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61314TNMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Dermatology PLC Mohs-Micrographic Surgery CurrentSince Apr 14, 2022 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Scripps Clinic Medical Group, Inc Past Accepting new patients

Locations

520 Duke Dr
Ste 300
Franklin, TN 37067
Phone (615) 249-4700

3803 Bedford Ave
Ste 102
Nashville, TN 37215
Phone (615) 249-4700

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.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1639337181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 BEDFORD AVE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152565",
            "telephone_number": "615-249-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 BEDFORD AVE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152565",
            "telephone_number": "615-813-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "VINEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TN",
            "license": "61314",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A120997",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A120997",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A120997",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "61314",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "61314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.