Abhinav Kumar Misra, MBBS

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD17190 Issued in RI

Practice address

375 Wampanoag Trail
Pulmonary & Sleep Medicine
Riverside, RI 02915

Phone

(401) 649-4070

Fax

(401) 649-4071

NPI assigned

Jul 5, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laredo ICU LLCGroup PAC ID 7618324898, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Laredo Medical Center Hospital, Laredo, TX, CCN 450029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Laredo ICU, LLC

  • Emergency Medicine Physician
  • Laredo, TX
  • NPI 1649952649
  Medicare reassignment Care Compare group NPD
• HCC of Laredo LLC

  • Internal Medicine Physician
  • Laredo, TX
  • NPI 1942712252
  Medicare reassignment NPD

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

• Laredo Texas Hospital Company LP

  dba Laredo Medical Center

  • General Acute Care Hospital
  • Laredo, TX
  • NPI 1548232044
  Care Compare affiliation

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1912347980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ELM STREET",
            "address_2": "DEPT OF CREDENTIALING",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033017",
            "telephone_number": "401-443-4992",
            "fax_number": "202-877-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WAMPANOAG TRAIL",
            "address_2": "PULMONARY & SLEEP MEDICINE",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "02915",
            "telephone_number": "401-649-4070",
            "fax_number": "401-649-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029053236",
            "country_code": "US",
            "telephone_number": "401-444-5471",
            "fax_number": "401-444-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISRA",
        "first_name": "ABHINAV",
        "middle_name": "KUMAR",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-05",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MTL001692",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "RI",
            "license": "MD17190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey-Ann Miller, MD, MPH
• Richard P Millman, MD
• Diane E Minasian, MD
• Baila Mir, PA
• Jessica Miranda
• Victoria Angela Atienza Morales, MD
• Daniel Moreno de Luca, M.D., M.SC.
• Amanda Moreton, MS, LMHC
• Nicole Morreo, LP
• Sarah Herrick Morris, PHD

• Pulmonary Disease Physician in Riverside, RI
• Providers in Riverside, RI by specialty
• Pulmonary Disease Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.
• 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.