Active NPI
Lalith K Misra, DO PHD
- Psychiatry Physician
- Marion, OH
National Provider Identifier
1730130626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 34.007451
- Practice address
- 990 S Prospect St Ste 3
Marion, OH 43302-6283 - Phone
- (740) 383-7910
- Fax
- (740) 375-8129
- NPI assigned
- May 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34.007451 | OH | Primary |
Addresses
Primary practice location
990 S Prospect St Ste 3
Marion, OH 43302-6283
Mailing address
# L-3652
Columbus, OH 43260-6453
Phone (740) 383-7927
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2056793 | Other | CIGNA | |
| 2205885 | Medicaid | OH | |
| 353077 | Other | SUBMITTER NO | |
| 260782000 | Other | MAGELLAN MIS | |
| 311098079 | Other | TAX ID | |
| 000000206898 | Other | OH | ANTHEM |
| 260047857 | Other | TRAVELERS MEDICARE | |
| 260782000 | Other | AETNA | |
| 311098079 | Other | PPO NEXT | |
| 320201 | Other | MT CARMEL BEHAVIORAL HEAL | |
| 1555037 | Other | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3162 El Camino Dr
Springfield, OH 45503-1318
Phone (937) 342-9030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.007451 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Psychiatric Associates Inc | Psychiatry | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Marion General Hospital, Inc. | Past | Accepting new patients |
Locations
3162 El Camino Dr
Springfield, OH 45503
Phone (937) 342-9030
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.
-
- Psychiatry Physician
- Springfield, OH
- NPI 1962541375
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1639142367
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- General Acute Care Hospital
- Marion, OH
- NPI 1215935366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1730130626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "# L-3652",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432606453",
"telephone_number": "740-383-7927",
"fax_number": "740-383-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 S PROSPECT ST STE 3",
"city": "MARION",
"state": "OH",
"postal_code": "433026283",
"telephone_number": "740-383-7910",
"fax_number": "740-375-8129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISRA",
"first_name": "LALITH",
"middle_name": "K",
"credential": "DO PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "34.007451",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2056793",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2205885",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBMITTER NO",
"identifier": "353077",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS",
"identifier": "260782000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "311098079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000206898",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "260047857",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "260782000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO NEXT",
"identifier": "311098079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MT CARMEL BEHAVIORAL HEAL",
"identifier": "320201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1555037",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.