Active NPI
Sanjeeb K Mishra, M.D.
- Nephrology Physician
- Waldorf, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- D23021
- Practice address
- 10 St. Patrick'S Drive
Waldorf, MD 20603-4527 - Phone
- (301) 705-7870
- Fax
- (301) 705-7628
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | D23021 | MD | Primary |
Addresses
Primary practice location
10 St. Patrick'S Drive
Waldorf, MD 20603-4527
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390003283 | Other | MD | RAILROAD MEDICARE |
| 018131500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
6710 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-1124
Phone (301) 373-7900
950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Nephrology | Current | Accepting new patients |
| Southern Maryland Pulmonary & Critical Care, P.a. | Past | Accepting new patients |
Locations
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870
10 Saint Patricks Dr
Ste D
Waldorf, MD 20603
Phone (301) 645-8322
3581 Old Washington Rd
Ste D
Waldorf, MD 20602
Phone (301) 609-5006
Interoperability endpoints
- sanjeeb.mishra.p2@direct.msmg.nextgenshare.com
- smishra548061@direct.umm.edu
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC, Nephrology
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Internal Medicine Physician
- Greenbelt, MD
- NPI 1992502926
-
- Pulmonary Disease Physician
- Waldorf, MD
- NPI 1982782686
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fort Washington, MD
- NPI 1003910878
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Waldorf, MD
- NPI 1225615479
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1932171345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 ST. PATRICK'S DRIVE",
"city": "WALDORF",
"state": "MD",
"postal_code": "206034527",
"telephone_number": "301-705-7870",
"fax_number": "301-705-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHRA",
"first_name": "SANJEEB",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MD",
"license": "D23021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "390003283",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018131500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.