Active NPI
Prabhat Mishra, M.D.
- Pediatric Anesthesiology Physician
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- E-13412
- Practice address
- 1 Childrens Way # 203
Little Rock, AR 72202-3500 - Phone
- (501) 364-1100
- Fax
- (501) 364-4082
- NPI assigned
- Jul 1, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Anesthesiology Physician | 207LP3000X | 2012018936 | MO | |
| Pediatric Anesthesiology Physician | 207LP3000X | 26070 | MS | |
| Pediatric Anesthesiology Physician | 207LP3000X | E-13412 | AR | Primary |
Addresses
Primary practice location
1 Childrens Way # 203
Little Rock, AR 72202-3500
Mailing address
1 Childrens Way # 653
Little Rock, AR 72202-3500
Phone (501) 364-1100
Other practice location 1
4301 W Markham St # 515
Little Rock, AR 72205-7101
Phone (501) 364-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MS, AR, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Miami, LM Miller School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
255 W Michigan Ave
Jackson, MI 49201-2218
850 Poplar Ave
BLDG 2
Memphis, TN 38105-4607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-13412 | AR | MD | Pediatric Anesthesiology Physician |
| 2012018936 | MO | MD | Pediatric Anesthesiology Physician |
| 26070 | MS | MD | Pediatric Anesthesiology Physician |
Practice roles
Locations
1 Childrens Way
#203
Little Rock, AR 72202
Phone (501) 364-2180
1 Childrens Way
Ste 653
Little Rock, AR 72202
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
#515
Little Rock, AR 72205
Phone (501) 603-1656
1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
848 Adams Ave
Memphis, TN 38103
Phone (901) 287-5437
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
Organizations & group practices 14
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.
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1598773079
-
- Pediatrics Physician
- Little Rock, AR
- NPI 1346230968
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
-
- Children's Hospital
- Little Rock, AR
- NPI 1477561983
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Psychologist
- Little Rock, AR
- NPI 1114255353
-
- General Practice Dentistry
- Little Rock, AR
- NPI 1760843247
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1972867240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 653",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-1100",
"fax_number": "501-364-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS WAY # 203",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722023500",
"telephone_number": "501-364-1100",
"fax_number": "501-364-4082"
}
],
"practiceLocations": [
{
"address_1": "4301 W Markham St # 515",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-364-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISHRA",
"first_name": "PRABHAT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-01",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "MO",
"license": "2012018936",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "MS",
"license": "26070",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "AR",
"license": "E-13412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.