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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VIJAY LAXMI MISRA M.D.
NPI 1164475877
Internal Medicine - Gastroenterology in Bloomington, IL

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
1709 TULLAMORE AVE STE C, BLOOMINGTON, IL 61704(309) 454-5900(309) 454-2820 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vijay Laxmi Misra M.d. NPPES

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

VIJAY LAXMI MISRA M.D. (NPI 1164475877) is an individual gastroenterology provider in Bloomington, Illinois, licensed in Illinois (036126566) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1164475877
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameVIJAY LAXMI MISRACredential: M.D.
Location Address1709 TULLAMORE AVE STE CBloomington, IL 61704-9603
Mailing Address1709 Tullamore Ave Ste CBloomington, IL 61704-9603 · (309) 454-5900 · Fax (309) 454-2820
Phone(309) 454-5900
Fax(309) 454-2820
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 17, 2006
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1164475877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036126566
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1709 TULLAMORE AVE STE C, Bloomington, IL 61704
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Other Identifiers 1

Medicaid036126566IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Vijay Laxmi Misra M.d. 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 ID3971545823
PECOS Enrollment IDI20110107000891
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 10

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
221 services218 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
158 services155 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
152 services110 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
137 services133 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
46 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141309
Location101 S Major StEureka, IL 61530 · Woodford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 3

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

DR. ROBERT EDWARD CLARK MD
Internal Medicine (Gastroenterology)
1709 TULLAMORE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 454-5900
AMY J STITES PA-C
Physician Assistant
1709 TULLAMORE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 454-5900
ALEXIS HUSS PA-C
Physician Assistant
1709 TULLAMORE AVE STE C
BLOOMINGTON, IL 61704
McLean County (309) 454-5900

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 Vijay Laxmi Misra's NPI number?

The NPI number for Vijay Laxmi Misra is 1164475877. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Vijay Laxmi Misra located?

Vijay Laxmi Misra practices at 1709 Tullamore Ave Ste C, Bloomington, IL 61704. The listed phone number is (309) 454-5900.

What is Vijay Laxmi Misra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vijay Laxmi Misra enrolled in Medicare?

Yes. Vijay Laxmi Misra 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 Vijay Laxmi Misra accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Vijay Laxmi Misra 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 Vijay Laxmi Misra affiliated with any hospitals?

According to CMS data, Vijay Laxmi Misra is affiliated with Carle Bromenn Medical Center, Saint James Hospital, St Joseph Medical Center and Carle Eureka Hospital.

When was this NPI record last updated?

The NPPES record for Vijay Laxmi Misra was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.