Sounak N Misra, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

MD26161 Issued in OR

Practice address

700 N Hayden Island Dr Ste 100
Portland, OR 97217-8130

Phone

(971) 533-5840

Fax

(971) 270-2806

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ascension Medical Group LLC

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1558719450
  NPD (past)
• Integrated Health Clinics, LLC

  • Methadone Clinic
  • Milwaukie, OR
  • NPI 1366506073
  NPD (past)
• Solutions Group NW LLC

  • Addiction (Substance Use Disorder) Counselor
  • Beaverton, OR
  • NPI 1497104004
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1831144872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SE 26TH AVE APT 407",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972021484",
            "telephone_number": "913-636-9616",
            "fax_number": "971-270-2806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N HAYDEN ISLAND DR STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972178130",
            "telephone_number": "971-533-5840",
            "fax_number": "971-270-2806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISRA",
        "first_name": "SOUNAK",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD26161",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD26161",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD26161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271033",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00294103",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neha Mishra
• Colin Scott Misich
• Cami Misk, LPC
• Sara Misner
• Sahana Misra, M.D.
• Tara Misra, MS, MSW
• John Frederic Mission, M.D.
• Mississippi Chiropractic, P.C.
• Mississippi Health Center Medicinay LLC
• Scott David Mist, MACOM, PHD

• Addiction Medicine (Internal Medicine) Physician in Portland, OR
• Providers in Portland, OR by specialty
• Addiction Medicine (Internal Medicine) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.