Active NPI
Neelam Misra, MD
- Physical Medicine & Rehabilitation Physician
- Austin, TX
National Provider Identifier
1902020647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- R4598
- Practice address
- 2611 Zach Scott St
Austin, TX 78723-5486 - Phone
- (917) 412-9235
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 234463 | NY | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | R4598 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | R4598 | TX | Primary |
Addresses
Primary practice location
2611 Zach Scott St
Austin, TX 78723-5486
Mailing address
2611 Zach Scott St Ste 208
Austin, TX 78723-5486
Phone (917) 403-9675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234463 | NY | MD | Physical Medicine & Rehabilitation Physician |
| R4598 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nolani PLLC | Pain Medicine | Current | Accepting new patients |
| Greater Austin Rehab Physicians PLLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Nolani PLLC | Pain Medicine | Current | Accepting new patients |
| Manhattan Total Health and Medical Fitness, PC | Past | Accepting new patients | |
| Mary a. Gonzales, M.D., P.a. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
4111 Marathon Blvd
Ste 110
Austin, TX 78756
Phone (512) 222-3198
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
5980 Kyle Pkwy
Kyle, TX 78640
Phone (512) 262-0821
4681 College Park Dr
Round Rock, TX 78665
Phone (512) 671-1100
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 and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Austin, TX
- NPI 1285505842
-
- Physical Medicine & Rehabilitation Physician
- Austin, TX
- NPI 1366945685
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Austin, TX
- NPI 1871200741
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
TX
-
- Physical Medicine & Rehabilitation Physician
- Austin, TX
- NPI 1396714127
-
- Physical Therapist
- New York, NY
- NPI 1235373762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1902020647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 ZACH SCOTT ST STE 208",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787235486",
"telephone_number": "917-403-9675",
"fax_number": "281-724-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 ZACH SCOTT ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787235486",
"telephone_number": "917-412-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISRA",
"first_name": "NEELAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2022-11-02",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "234463",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "R4598",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "R4598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.