Individual provider Active NPI

Bibhu R Misra, D.C., M.SC.

  • Chiropractor
  • Ashburn, VA
National Provider Identifier
1871593327
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556248 Issued in VA
Practice address
21785 Filigree CT
Suite 200
Ashburn, VA 20147-6213
Phone
(703) 724-9899
Fax
(703) 724-9897
NPI assigned
Jul 27, 2005
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556248 VA Primary

Addresses

Primary practice location

21785 Filigree CT
Suite 200
Ashburn, VA 20147-6213

Mailing address

21785 Filigree CT Ste 200
Ashburn, VA 20147-6214
Phone (703) 724-9899

Other practice location 1

11 W Market St Ste 201
Leesburg, VA 20176-2923
Phone (703) 724-9899 ext. 2

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240202000897 VA Practitioner - Chiropractic 6608226253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Om the Center for Well Being, P.C.Group PAC ID 5799135349, 3 clinicians

Practice addresses (Care Compare)

21785 Filigree CT
Suite 200
Ashburn, VA 20147-6214
Phone 70372498991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Om: the Center for Well Being, P.C. Chiropractor CurrentSince Jan 2, 2024 Accepting new patients

Locations

21785 Filigree Ct
Ste 200
Ashburn, VA 20147
Phone (703) 724-9899

11 W Market St
Ste 201
Leesburg, VA 20176
Phone (703) 724-9899

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1871593327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT STE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476214",
            "telephone_number": "703-724-9899",
            "fax_number": "703-724-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT",
            "address_2": "SUITE 200",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476213",
            "telephone_number": "703-724-9899",
            "fax_number": "703-724-9897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 W Market St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201762923",
            "country_code": "US",
            "telephone_number": "703-724-9899 x2",
            "fax_number": "703-724-9897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISRA",
        "first_name": "BIBHU",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C., M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.