Individual provider Active NPI

Anand Donald Mishra, M.D.

  • Interventional Cardiology Physician
  • Florence, AL
National Provider Identifier
1821208497
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
31249 Issued in AL
Practice address
541 W. College Street
Sutie 1100
Florence, AL 35630
Phone
(256) 766-2118
Fax
(256) 766-2101
NPI assigned
May 23, 2007
Last updated
Sep 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD31249 AL
Interventional Cardiology Physician 207RI0011X 31249 AL Primary

Addresses

Primary practice location

541 W. College Street
Sutie 1100
Florence, AL 35630

Mailing address

PO Box 10005
Florence, AL 35631-2005
Phone (256) 766-2118

Other identifiers 1

IdentifierTypeStateIssuer
132659MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20180926001531 AL Practitioner - Cardiovascular Disease (Cardiology) 6709913023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
West Virginia University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecm TVCC LLCGroup PAC ID 8729386966, 11 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

1751 Veterans Dr
Suite 200
Florence, AL 35630-4930
Phone (256) 766-2118

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22504WVMDLicensed Practical Nurse
MD31249ALMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP - Florence LLC CurrentSince Oct 15, 2018 Accepting new patients
Ecm TVCC LLC Cardiovascular Disease CurrentSince Sep 1, 2018 Accepting new patients
Ecm Health Group LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

1751 Veterans Dr
Ste 200
Florence, AL 35630
Phone (256) 766-2118

2129 Helton Dr
Florence, AL 35630
Phone (256) 718-3200

541 W College St
Ste 1100
Florence, AL 35630
Phone (256) 766-2118

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

203 Avalon Ave
Ste 130
Muscle Shoals, AL 35661
Phone (256) 383-4447

Interoperability endpoints

  • Direct secure messaging: anand.mishra.1@6269.direct.athenahealth.com

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1821208497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10005",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356312005",
            "telephone_number": "256-766-2118",
            "fax_number": "256-766-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W. COLLEGE STREET",
            "address_2": "SUTIE 1100",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-766-2118",
            "fax_number": "256-766-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHRA",
        "first_name": "ANAND",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "MD31249",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "31249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132659",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.