Active NPI
Fnu Akshay Mishra, M.D.
- Clinical Cardiac Electrophysiology Physician
- Chicago, IL
National Provider Identifier
1972731941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 125.055594
- Practice address
- 1717 S Prairie Ave
#1003
Chicago, IL 60616-4338 - Phone
- (323) 612-4417
- NPI assigned
- Jun 29, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 125.055594 | IL | Primary |
Addresses
Primary practice location
1717 S Prairie Ave
#1003
Chicago, IL 60616-4338
Mailing address
1717 S Prairie Ave
#1003
Chicago, IL 60616-4338
Phone (323) 612-4417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.055594 | IL | MD | Clinical Cardiac Electrophysiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246233600000",
"number": "1972731941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 S PRAIRIE AVE",
"address_2": "#1003",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164338",
"telephone_number": "323-612-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S PRAIRIE AVE",
"address_2": "#1003",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164338",
"telephone_number": "323-612-4417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISHRA",
"first_name": "FNU",
"middle_name": "AKSHAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-29",
"last_updated": "2009-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "IL",
"license": "125.055594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.