Individual provider Active NPI

Neelam Misra, MD

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1902020647
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
R4598 Issued in TX
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

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423002602 TX Practitioner - Physical Medicine and Rehabilitation 0840211330 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234463NYMDPhysical Medicine & Rehabilitation Physician
R4598TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nolani PLLC Pain Medicine CurrentSince Nov 6, 2022 Accepting new patients
Greater Austin Rehab Physicians PLLC Physical Medicine & Rehabilitation CurrentSince Nov 2, 2022 Accepting new patients
Nolani PLLC Pain Medicine CurrentSince Jul 27, 2025 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.

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

Verify at the official NPI Registry.