DR. SUMATHI K MISRA MD, MPH
NPI 1306936802
Internal Medicine - Geriatric Medicine in Nashville, TN
About Dr. Sumathi K Misra Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUMATHI K MISRA MD, MPH (NPI 1306936802) is an individual geriatric medicine provider in Nashville, Tennessee, licensed in Tennessee (MD34916) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Sumathi K Misra Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sumathi Misra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37232
- Reassigned Medicare billing, Tennessee enrollment
- 4,711 clinicians in this Medicare group
Franklin, TN 37064
- Reassigned Medicare billing, Tennessee enrollment
- 298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
NASHVILLE, TN 37232
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 Sumathi Misra's NPI number?
The NPI number for Sumathi Misra is 1306936802. It was assigned to this individual provider in the NPPES registry on October 13, 2006.
Where is Sumathi Misra located?
Sumathi Misra practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.
What is Sumathi Misra's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Sumathi Misra enrolled in Medicare?
Yes. Sumathi Misra is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sumathi Misra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sumathi Misra reassigns Medicare benefits to 2 organizations: Vanderbilt University Medical Center (Nashville, TN) and Vanderbilt Health And Williamson Medical Center Clinics And Services, (Franklin, TN). 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 Sumathi Misra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sumathi Misra accept?
Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, Cigna Healthcare and Oscar Insurance Company list Sumathi 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.
When was this NPI record last updated?
The NPPES record for Sumathi Misra was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Sumathi K Misra, MD, MPH · NPI 1306936802
Geriatric Medicine physician in Nashville, Tennessee. Individual provider, active in the CMS NPPES registry since October 13, 2006.
## Identity
- **NPI:** 1306936802 (Entity type: Individual)
- **Enumerated:** October 13, 2006
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **State license:** MD34916 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 THE VANDERBILT CLINIC, Nashville, TN 37232-5100
- **Phone:** (615) 322-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vanderbilt University Medical Center (NPI 1104202761, Nashville, TN); Vanderbilt Health And Williamson Medical Center Clinics And Services, (NPI 1225135551, Franklin, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Medicaid 3865244 (TN)
---
Source: [NPI Profile](https://npiprofile.com/npi/1306936802) · Data from the CMS NPPES public registry.