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POONAM MISHRA D.O.
NPI 1306836952
Family Medicine - Adult Medicine in Melbourne, FL

Active since October 25, 2005PECOS Enrolled
401 N WICKHAM RD, SUITE H, MELBOURNE, FL 32935(321) 757-5105(321) 757-5104 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Poonam Mishra D.o. NPPES

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

POONAM MISHRA D.O. (NPI 1306836952) is an individual adult medicine provider in Melbourne, Florida, licensed in Florida (593360315) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306836952
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NamePOONAM MISHRACredential: D.O.
Location Address401 N WICKHAM RD, SUITE HMelbourne, FL 32935-8659
Mailing Address401 N Wickham Rd, Suite HMelbourne, FL 32935-8659 · (321) 757-5105 · Fax (321) 757-5104
Phone(321) 757-5105
Fax(321) 757-5104
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateFebruary 6, 2015
✔ NPI 1306836952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · 593360315
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
401 N WICKHAM RD, Melbourne, FL 32935
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Other Identifiers 4

Medicare PIN57174YFL
Other40462FL · Bcbs Mab Group
Medicare UPING35126FL
Other57174FL · Bcbs Provider Id

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Poonam Mishra D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32935 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims45 services$6.51 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 8

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

THE AFFORDABLE APOTHECARY INC
Pharmacy (Community/Retail Pharmacy)
401 N WICKHAM RD, STE E
MELBOURNE, FL 32935
Brevard County (321) 255-2660
JAY EDWARD OLSSON DO PROF ASSOCIATIONN
Physical Medicine & Rehabilitation
401 N WICKHAM RD, SUITE S
MELBOURNE, FL 32935
Brevard County (321) 242-9031
MRS. MICHELLE JANE MADAN ARNP
Nurse Practitioner
401 N WICKHAM RD, SUITE S
MELBOURNE, FL 32935
Brevard County (321) 242-9031
ASHWINI HEALTHCARE LLC
Pharmacy (Community/Retail Pharmacy)
401 N WICKHAM RD, SUITE W AND X
MELBOURNE, FL 32935
Brevard County (321) 751-7885
JAY E. OLSSON, D.O., P.A.
Physical Medicine & Rehabilitation (Pain Medicine)
401 N WICKHAM RD, SUITE S
MELBOURNE, FL 32935
Brevard County (321) 242-9031
BREVARD HMA HME, LLC
Durable Medical Equipment & Medical Supplies
401 N WICKHAM RD, SUITE K
MELBOURNE, FL 32935
Brevard County (321) 242-7648
MIRLEY ALEMAN ALEJO
Pharmacist
401 N WICKHAM RD
MELBOURNE, FL 32935
Brevard County (321) 421-7620
CHRISTOPHER STANLEY COLE PHYSICIAN ASSISTANT
Physician Assistant
401 N WICKHAM RD, SUITE S
MELBOURNE, FL 32935
Brevard County (321) 242-9031

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 Poonam Mishra's NPI number?

The NPI number for Poonam Mishra is 1306836952. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Poonam Mishra located?

Poonam Mishra practices at 401 N Wickham Rd Suite H, Melbourne, FL 32935. The listed phone number is (321) 757-5105.

What is Poonam Mishra's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Poonam Mishra enrolled in Medicare?

Yes. Poonam Mishra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Poonam Mishra was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.