Active NPI
Mark Vikas Mishra, M.D.
- Radiation Oncology Physician
- Bel Air, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MT194731
- Practice address
- 500 Upper Chesapeake Drive Radiation Oncology
Upper Chesapeake Medical Center
Bel Air, MD 21014-4324 - Phone
- (443) 843-5609
- NPI assigned
- Aug 21, 2008
- Last updated
- Sep 20, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125-055026 | IL | |
| Radiation Oncology Physician | 2085R0001X | MT194731 | PA | Primary |
Addresses
Primary practice location
500 Upper Chesapeake Drive Radiation Oncology
Upper Chesapeake Medical Center
Bel Air, MD 21014-4324
Mailing address
500 Upper Chesapeake Drive Radiation Oncology
Upper Chesapeake Medical Center
Bel Air, MD 21014-4324
Phone (443) 843-5609
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D75962 | Other | MD | LICENSE NUMBER |
| MT 194731 | Other | PA | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Radiation Oncology
- Education
- University of Cincinnati College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
219 S Washington St
Um Shore Regional Medical Center
Easton, MD 21601-2913
Phone (410) 822-1000
22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-6080
850 W Baltimore St
Baltimore, MD 21201-1154
Phone (410) 227-7434
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-055026 | IL | MD | Internal Medicine Physician |
| MT194731 | PA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Washington Medical Center Inc. | Radiation Oncology | Current | Accepting new patients |
| Maryland Proton Treatment Center, LLC | Current | Accepting new patients | |
| University of Maryland Community Medical Group, Inc. | Current | Accepting new patients | |
| University of Maryland Radiation Oncology Associates PA | Radiation Oncology | Current | Accepting new patients |
| Baltimore Washington Medical Center Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
850 W Baltimore St
Baltimore, MD 21201
Phone (410) 227-7434
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432
10710 Charter Dr
Ste G030
Columbia, MD 21044
Phone (443) 546-1300
219 S Washington St
Easton, MD 21601
509 Idlewild Ave
Easton, MD 21601
Phone (410) 820-6411
301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565
305 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 553-8100
305 Hospital Dr
Ste E
Glen Burnie, MD 21061
Interoperability endpoints
- mmishra83262@direct.umm.edu
Organizations & group practices 6
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.
-
dba Maryland Proton Treatment Center
- Clinic/Center
- Baltimore, MD
- NPI 1255742375
-
- Radiation Oncology Physician
- Baltimore, MD
- NPI 1780637272
-
- General Acute Care Hospital
- Glen Burnie, MD
- NPI 1124016696
Radiation Oncology
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
dba The Right Fit at Baltimore Washington Medical Center
- Customized Equipment (DME)
- Glen Burnie, MD
- NPI 1881799344
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UM Shore Medical Center at Dorchester
- General Acute Care Hospital
- Cambridge, MD
- NPI 1194784751
-
dba UM Shore Medical Center at Easton
- General Acute Care Hospital
- Easton, MD
- NPI 1669431219
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
dba UM Upper Chesapeake Medical Center at Aberdeen
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1790932630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UPPER CHESAPEAKE DRIVE RADIATION ONCOLOGY",
"address_2": "UPPER CHESAPEAKE MEDICAL CENTER",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144324",
"telephone_number": "443-843-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UPPER CHESAPEAKE DRIVE RADIATION ONCOLOGY",
"address_2": "UPPER CHESAPEAKE MEDICAL CENTER",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144324",
"telephone_number": "443-843-5609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHRA",
"first_name": "MARK",
"middle_name": "VIKAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-21",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125-055026",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": "MT194731",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "D75962",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "MT 194731",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
- Minuteclinic LLC
- Bethany Felisa Miracle-Larson, RESIDENT
- Alvin Christopher Miranda, DDS
- Elizabeth Miranda, CRNP
- Mirarchi & Kelly LCSW PA
- Bryan Keith Mitchell, PA-C
- Charlotte C Mitchum, M.S., CCC-SLP
- MNR Industries, LLC (Children's Urgent Care)
- MNR Industries, LLC
- MNR Industries, LLC (ExpressCare of Bel Air)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.