KIRAN MISHRA MD
NPI 1205828175
Pediatrics in Phoenix, AZ

Q: What is Kiran Mishra's NPI number?

The NPI number for Kiran Mishra is 1205828175. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Kiran Mishra's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kiran Mishra was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 17, 2005PECOS Enrolled

4137 N 108TH AVE, PHOENIX, AZ 85037(623) 877-7337(623) 772-0686 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kiran Mishra Md NPPES

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

KIRAN MISHRA MD (NPI 1205828175) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (35689) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1205828175

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKIRAN MISHRACredential: MD

Location Address4137 N 108TH AVEPhoenix, AZ 85037-5459

Mailing Address4137 N 108th AvePhoenix, AZ 85037-5459

Phone(623) 877-7337

Fax(623) 772-0686

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 17, 2005

Last NPPES UpdateJune 29, 2021

NPPES CertifiedJune 29, 2021

✔ NPI 1205828175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AZ · 35689✔ Licensed in PA · MD421575

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4137 N 108TH AVE, Phoenix, AZ 85037

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Other Identifiers 1

Medicaid01963962PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiran Mishra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163909409

PECOS Enrollment IDI20260116003668

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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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.

ALEA COX

Nurse Practitioner (Pediatrics)