SANDEEP MISHRA
NPI 1013302553
Internal Medicine in Salem, MA

Active since April 01, 2015PECOS EnrolledAccepts Medicare Assignment
81 HIGHLAND AVE, DEPT OF MEDICINE ( HOSPITALIST), SALEM, MA 01970(978) 354-4727 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2019, Jul 31, 2018 (2 updates tracked since 2018).

About Sandeep Mishra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDEEP MISHRA (NPI 1013302553) is an individual internal medicine provider in Salem, Massachusetts, licensed in Maryland (D85281) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1013302553
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANDEEP MISHRA
Location Address81 HIGHLAND AVE, DEPT OF MEDICINE ( HOSPITALIST)Salem, MA 01970-2714
Mailing Address81 Highland Ave, Dept Of Medicine ( Hospitalist)Salem, MA 01970-2714 · (978) 354-4727
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 1, 2015
Last NPPES UpdateAugust 16, 20192 updates tracked since enumeration
NPI 1013302553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MD · D85281 Licensed in MA · 279203
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
81 HIGHLAND AVE, Salem, MA 01970

Secondary Practice Location 1

Location 1201 E University Pkwy, Dept. of MedicineBaltimore, MD 21218-2829 · Phone (410) 554-2284 · Fax (410) 554-2184

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sandeep Mishra is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547565350
PECOS Enrollment IDI20190926000905
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
399 services183 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
262 services171 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
171 services165 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
95 services95 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
89 services87 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01970 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims15 services$14.88 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims15 services$68.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
81 HIGHLAND AVE
SALEM, MA 01970
Registered Nurse
81 HIGHLAND AVE
SALEM, MA 01970
Physician Assistant
81 HIGHLAND AVE
SALEM, MA 01970
Anesthesiology
81 HIGHLAND AVE, DEPT. ANESTHESIA,
SALEM, MA 01970
Pathology (Anatomic Pathology)
81 HIGHLAND AVE, PATHOLOGY DEPARTMENT
SALEM, MA 01970
Nurse Practitioner (Family)
81 HIGHLAND AVE
SALEM, MA 01970
Internal Medicine
81 HIGHLAND AVE
SALEM, MA 01970
Registered Nurse (Medical-Surgical)
81 HIGHLAND AVE
SALEM, MA 01970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandeep Mishra's NPI number?

The NPI number for Sandeep Mishra is 1013302553. It was assigned to this individual provider in the NPPES registry on April 1, 2015.

Where is Sandeep Mishra located?

Sandeep Mishra practices at 81 Highland Ave Dept Of Medicine ( Hospitalist), Salem, MA 01970. The listed phone number is (978) 354-4727.

What is Sandeep Mishra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandeep Mishra enrolled in Medicare?

Yes. Sandeep Mishra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sandeep Mishra affiliated with any hospitals?

According to CMS data, Sandeep Mishra is affiliated with Northeast Hospital Corporation and North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Sandeep Mishra was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.