Active NPI
Vineet Mishra, MD
- MOHS-Micrographic Surgery Physician
- Nashville, TN
National Provider Identifier
1639337181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A120997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Vanderbilt University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 Duke Dr
Suite 300
Franklin, TN 37067-2948
Phone (615) 249-4700
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 29 |
| Removal of skin lesions | 2445 |
| Removal of skin cancer | 217 |
| Skin biopsy | 330 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61314 | TN | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restoration Dermatology PLC | Mohs-Micrographic Surgery | Current | 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.
-
- MOHS-Micrographic Surgery Physician
- Nashville, TN
- NPI 1417698549
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.