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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.

SHIV KUMAR MISRA DO
NPI 1205418589
Internal Medicine in Marietta, OH

Active since April 26, 2021PECOS Enrolled
401 MATTHEW ST, MARIETTA, OH 45750(740) 374-7700(740) 374-7701 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Jun 14, 2025, Mar 30, 2025 and 1 more (4 updates tracked since 2021).

About Shiv Kumar Misra Do NPPES

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

SHIV KUMAR MISRA DO (NPI 1205418589) is an individual internal medicine provider in Marietta, Ohio, licensed in Ohio (34.017777) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205418589
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHIV KUMAR MISRACredential: DO
Location Address401 MATTHEW STMarietta, OH 45750-1635
Mailing Address400 Association Dr Ste 102Charleston, WV 25311-1298 · (304) 760-7536
Phone(740) 374-7700
Fax(740) 374-7701
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2021
Enumeration DateApril 26, 2021
Last NPPES UpdateOctober 23, 20264 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1205418589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in OH · 34.017777✔ Licensed in WV · 4621
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.
Also ListedPediatricsTaxonomy 208000000X · License 4621 (WV)
Also ListedHospitalistTaxonomy 208M00000X · License 4621 (WV), 34.017777 (OH)
401 MATTHEW ST, Marietta, OH 45750
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1830 Pennsylvania Avenue, Suite 104Charleston, WV 25302 · Phone (304) 388-1552
Location 21106 Colegate DrMarietta, OH 45750-1323 · Phone (740) 374-7700 · Fax (740) 374-7701
Location 3314 S Wells STSistersville, WV 26175-1098 · Phone (304) 652-2611 · Fax (304) 652-1448

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shiv Kumar Misra Do 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 ID2365842788
PECOS Enrollment IDI20250807000129
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Shiv Misra reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marietta Memorial Hospital
Same address
General Acute Care Hospital
401 MATTHEW ST
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 411 clinicians in this Medicare group
NPI 1215936927 (740) 374-1413
Selby General Hospital
1.3 mi
Critical Access
1106 COLEGATE DR
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 247 clinicians in this Medicare group
NPI 1124073465 (740) 568-2040
Mhc Physicians Inc
2.1 mi
Internal Medicine
424 HIGHLAND AVE
Williamstown, WV 26187
  • Reassigned Medicare billing, West Virginia enrollment
  • 49 clinicians in this Medicare group
NPI 1073600219 (740) 568-4190
Charleston Area Medical Center Inc
12 mi
Multi-Specialty
407 MAIN ST STE 1
Belpre, OH 45714
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1588422547 (740) 315-5709
Marietta Memorial Hospital Of Tyler County Inc
27 mi
Critical Access
314 S WELLS ST
Sistersville, WV 26175
  • Reassigned Medicare billing, West Virginia enrollment
  • 42 clinicians in this Medicare group
NPI 1811595192 (304) 652-2611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361319
Location1106 Colegate DriveMarietta, OH 45750 · Washington County
Emergency services

Sistersville General Hospital

Critical Access Hospitals · Sistersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511304
Location314 South Wells StreetSistersville, WV 26175 · Tyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

CONSTANCE J OATES FNP
Nurse Practitioner
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
JANELLE A THOMAS MD
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPT
MARIETTA, OH 45750
Washington County (740) 374-1400
LEXIE MULLEN MS, CCC-SLP
Speech-Language Pathologist
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1422
DR. DIANA WHEELER DO
Family Medicine
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-7700
JULIAN ADAM JOHN JAKUBOWSKI DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 376-1939
GEOFFREY SIROCKMAN DO
Emergency Medicine
401 MATTHEW ST, EMERGENCY DEPARTMENT
MARIETTA, OH 45750
Washington County (740) 568-5669
PUSHPA UPRETY FNP
Nurse Practitioner (Family)
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1494
DR. DISHA SHAH MD
Student in an Organized Health Care Education/Training Program
401 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 374-1400

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 Shiv Misra's NPI number?

The NPI number for Shiv Misra is 1205418589. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Shiv Misra located?

Shiv Misra practices at 401 Matthew St, Marietta, OH 45750. The listed phone number is (740) 374-7700.

What is Shiv Misra's specialty?

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

Is Shiv Misra enrolled in Medicare?

Yes. Shiv 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.

Which organizations bill Medicare for Shiv Misra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shiv Misra reassigns Medicare benefits to 5 organizations: Marietta Memorial Hospital (Marietta, OH), Selby General Hospital (Marietta, OH), Mhc Physicians Inc (Williamstown, WV), Charleston Area Medical Center Inc (Belpre, OH) and Marietta Memorial Hospital Of Tyler County Inc (Sistersville, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shiv Misra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shiv Misra accept?

Health plans from CareSource list Shiv 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 Shiv Misra affiliated with any hospitals?

According to CMS data, Shiv Misra is affiliated with Marietta Memorial Hospital, Selby General Hospital and Sistersville General Hospital.

When was this NPI record last updated?

The NPPES record for Shiv Misra was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.