1. Home
  2. Directory
  3. Wisconsin
  4. Milwaukee
  5. Internal Medicine
  6. NPI Profile

DR. PRATEEK MISHRA MD
NPI 1104009505
Internal Medicine in Milwaukee, WI

Active since December 10, 2007PECOS EnrolledAccepts Medicare Assignment
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215(414) 385-2590 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, Nov 23, 2021 (2 updates tracked since 2021).

About Dr. Prateek Mishra Md NPPES

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

DR. PRATEEK MISHRA MD (NPI 1104009505) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (51992-020) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1104009505
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRATEEK MISHRACredential: MD
Location Address2900 W OKLAHOMA AVEMilwaukee, WI 53215-4330
Mailing Address5410 Maryland Way, Suite 300Brentwood, TN 37027-5064 · (615) 377-5652
Phone(414) 385-2590
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 10, 2007
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1104009505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 51992-020✔ Licensed in IL · 036-118929
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.
2900 W OKLAHOMA AVE, Milwaukee, WI 53215
Open in Google Maps ↗

Other Identifiers 2

Medicaid100002889WI
Other1104009505WI · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

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

Dr. Prateek Mishra Md 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 ID1153488267
PECOS Enrollment IDI20090317000270
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 4

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.
262 services119 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.
148 services78 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.
55 services55 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

MUHAMMAD AKBAR MD LLC
Clinic/Center (Primary Care)
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 365-3210
DR. JEFFREY T LYVERS M.D.
Anesthesiology
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
RANA MOHAMMED AL RUBAYE MD
Hospitalist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
JESSICA MCDOWELL
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-5279
MARA STASIK PA-C
Physician Assistant
2900 W OKLAHOMA AVE, 5TH FLOOR GALLERIA
MILWAUKEE, WI 53215
Milwaukee County (414) 646-2550
SARAH J PARVE NP
Nurse Practitioner
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6000
DR. RILEY MARINELLI PT, DPT
Physical Therapist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6011
ASHLEY MARIE ALTER PHARMD
Pharmacist
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
Milwaukee County (414) 649-6930

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 Prateek Mishra's NPI number?

The NPI number for Prateek Mishra is 1104009505. It was assigned to this individual provider in the NPPES registry on December 10, 2007.

Where is Prateek Mishra located?

Prateek Mishra practices at 2900 W Oklahoma Ave, Milwaukee, WI 53215. The listed phone number is (414) 385-2590.

What is Prateek Mishra's specialty?

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

Is Prateek Mishra enrolled in Medicare?

Yes. Prateek 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.

What insurance does Prateek Mishra accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Prateek Mishra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prateek Mishra affiliated with any hospitals?

According to CMS data, Prateek Mishra is affiliated with Aurora Health Care Central Inc and Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Prateek Mishra was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.