Organization Active NPI

Devi P. Misra M.D.,F.a.C.P

  • Pulmonary Disease Physician
  • Huntsville, AL
National Provider Identifier
1669536280
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
9102 Issued in AL
Legal business name
DEVI P. MISRA M.D.,F.A.C.P
Practice address
400 Whitesport Dr SW
Suite 103
Huntsville, AL 35801-6452
Phone
(256) 880-0455
Fax
(256) 882-6382
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2009

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

Authorized official

Name
Dr. Devi P Misra, M.D.
Title
President
Phone
(256) 880-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 9102 AL Primary

Addresses

Primary practice location

400 Whitesport Dr SW
Suite 103
Huntsville, AL 35801-6452

Mailing address

400 Whitesport Dr SW
Suite 103
Huntsville, AL 35801-6452
Phone (256) 880-0455

Other identifiers 3

IdentifierTypeStateIssuer
411013507OtherALMEDICARE RAILROAD
000004729MedicaidAL
051004729OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243468800000",
    "number": "1669536280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW",
            "address_2": "SUITE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016452",
            "telephone_number": "256-880-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WHITESPORT DR SW",
            "address_2": "SUITE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016452",
            "telephone_number": "256-880-0455",
            "fax_number": "256-882-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVI P. MISRA M.D.,F.A.C.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-05-28",
        "status": "A",
        "authorized_official_last_name": "MISRA",
        "authorized_official_first_name": "DEVI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-880-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "9102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "411013507",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000004729",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051004729",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.