Active NPI
Anurag Mishra, MD
- Internal Medicine Physician
- Denton, TX
National Provider Identifier
1669583944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N5249
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036100568 | Medicaid | IL |
Other names 1
- Anurag Misra
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28283 | OK | MD | Intermediate Emergency Medical Technician |
| N5249 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physiological Laboratory
- Hunt Valley, MD
- NPI 1487954913
-
- General Practice Physician
- Dodge City, KS
- NPI 1437131265
Internal Medicine
-
- Cardiovascular Disease Physician
- Downers Grove, IL
- NPI 1417908765
Internal Medicine
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hunt Valley, MD
- NPI 1700865094
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.