Individual provider Active NPI

Anurag Mishra, MD

  • Internal Medicine Physician
  • Denton, TX
National Provider Identifier
1669583944
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N5249 Issued in TX
Practice address
6800 Smoketree TRL
Denton, TX 76208-7372
Phone
(630) 847-8384
Fax
(877) 334-1352
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 28283 OK
Internal Medicine Physician 207R00000X N5249 TX Primary
Cardiovascular Disease Physician 207RC0000X 0425612 KS

Addresses

Primary practice location

6800 Smoketree TRL
Denton, TX 76208-7372

Mailing address

6800 Smoketree TRL
Denton, TX 76208-7372
Phone (630) 847-8384

Other identifiers 1

IdentifierTypeStateIssuer
036100568MedicaidIL

Other names 1

  • Anurag Misra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28283OKMDIntermediate Emergency Medical Technician
N5249TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Diagnostic Services No 1 LLC Past Accepting new patients
Dodge City Medical Center Chartered Internal Medicine Past Accepting new patients
American Diagnostics Services LLC Past Accepting new patients
Midwest Heart Specialists, LTD Internal Medicine Past Accepting new patients

Organizations & group practices 4

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1669583944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 SMOKETREE TRL",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762087372",
            "telephone_number": "630-847-8384",
            "fax_number": "877-334-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 SMOKETREE TRL",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762087372",
            "telephone_number": "630-847-8384",
            "fax_number": "877-334-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "ANURAG",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "28283",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N5249",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0425612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100568",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANURAG",
            "last_name": "MISRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.