Sunil Pathak Misra, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

127871 Issued in OH

Practice address

375 Dixmyth Ave
Cincinnati, OH 45220-2475

Phone

(523) 862-3710

Fax

(513) 965-8091

NPI assigned

Jun 17, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Pittsburgh School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tristate Img (Imaging Medical Group) IncGroup PAC ID 6204732365, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethesda North Hospital, Cincinnati, OH, CCN 360179
• Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134
• McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Tristate Img (Imaging Medical Group) Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1114927209
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation
• McCullough-Hyde Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Oxford, OH
  • NPI 1245216183
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1457964041
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Montgomery, OH
  • NPI 1477166064
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1508835828
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1740893320
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1851904445
  Care Compare affiliation

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1740501329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42456",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452420456",
            "telephone_number": "513-965-8041",
            "fax_number": "513-965-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "523-862-3710",
            "fax_number": "513-965-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "SUNIL",
        "middle_name": "PATHAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2011012271",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "127871",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "49431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201386530",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0169700",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100411700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avijeet Kumar Mishra
• Jane M Mishurda, DA
• Mona Datta Mislankar, M.D.
• Nicholas L Misleh
• Kaci Mislivecek
• Miss Barbara Therapy LLC
• Marissa Missinne, PHARMD
• Laurie A Mitan, M.D.
• Mark Andrew Mitan, LSW
• Brenda Frost Mitchel

• Diagnostic Radiology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Diagnostic Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.

Verify at the official NPI Registry.