Virendra K Misra, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

38580 Issued in WI

Practice address

2603 W Rawson Ave
Suite 128
Oak Creek, WI 53154-8422

Phone

(414) 431-6760

Fax

(414) 431-6761

NPI assigned

Apr 13, 2006

Last updated

May 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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

Neurology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interpedia SCGroup PAC ID 5698856375, 5 clinicians

Saak, SCGroup PAC ID 0244686137, 8 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Interpedia, S.C.

  • Clinic/Center
  • Thiensville, WI
  • NPI 1568432979
  Medicare reassignment Care Compare group NPD
• Saak, SC

  • Interventional Cardiology Physician
  • Brookfield, WI
  • NPI 1518744986
  Medicare reassignment Care Compare group NPD
• Saak Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Brookfield, WI
  • NPI 1306527403
  Medicare reassignment NPD
• Wisconsin Neurology Clinic, LLC

  • Neurology Physician
  • Oak Creek, WI
  • NPI 1639101405
  Authorized official Same address or phone
• Milwaukee Pain Treatment Services SC

  • Anesthesiology Physician
  • Milwaukee, WI
  • NPI 1396830501
  NPD
• Ascension Medical Group-Southeast Wisconsin Inc

  dba Ascension Medical Group

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077

  Neurology

  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1780648048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "414-247-9005",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 W RAWSON AVE",
            "address_2": "SUITE 128",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548422",
            "telephone_number": "414-431-6760",
            "fax_number": "414-431-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "VIRENDRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "38580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000001093",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32336900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ministry Home Care Services, LLC (Ascension at Home)
• Ministry Home Care Services, LLC (Ascension at Home)
• Miracle Physical Therapy and Rehab Specialists LLC
• Mariela Miranda, OD
• Lauren Margaret Darling Misleh, PHARMD
• Abdulkadir Mohamed
• Yusuf Ismail Mohamed
• Shereen Mohis, M.D.
• Charmaine G Mohr, NP
• Kathleen Rose Moloney, MD

• Neurology Physician in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.