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SWARUP MISRA DO
NPI 1396905121
Emergency Medicine in Madison Hts, MI

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
27351 DEQUINDRE RD, MADISON HTS, MI 48071(248) 967-7795(248) 967-7794 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Swarup Misra Do NPPES

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

SWARUP MISRA DO (NPI 1396905121) is an individual emergency medicine provider in Madison Hts, Michigan, licensed in Michigan (5101017802) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1396905121
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSWARUP MISRACredential: DO
Location Address27351 DEQUINDRE RDMadison Hts, MI 48071-3487
Mailing Address27351 Dequindre RdMadison Hts, MI 48071-3487 · (248) 967-7795 · Fax (248) 967-7794
Phone(248) 967-7795
Fax(248) 967-7794
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateJune 16, 2008
✔ NPI 1396905121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101017802
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101017802 (MI)
27351 DEQUINDRE RD, Madison Hts, MI 48071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc.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

Swarup 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 ID1355505140
PECOS Enrollment IDI20120606000662
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

3

Medicare enrollment records show Swarup Misra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wake Forest Emergency Providers
477 mi
Multi-Specialty
557 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 580 clinicians in this Medicare group
NPI 1396216735 (336) 716-2255
Atrium Health North Market Network LLC
493 mi
Family Medicine
123 PROFESSIONAL PARK DR
Mooresville, NC 28117
  • Reassigned Medicare billing, North Carolina enrollment
  • 179 clinicians in this Medicare group
NPI 1871112920 (704) 631-0002
Emergency Medicine Physicians Of Mecklenburg County, PLLC
524 mi
Emergency Medicine
10628 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 230 clinicians in this Medicare group
NPI 1912232182 (330) 493-4443

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

Areas of Expertise CMS Part B claims 9

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
117 services110 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
102 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
44 services44 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
20 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48071 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

DR. LISA MARIE WARGO DNP
Nurse Practitioner (Acute Care)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7000
LAURIE DAVENPORT PT
Physical Therapist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7312
SANTOSH K RASTOGI MD
Psychiatry & Neurology (Psychiatry)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7480
MRS. JEVONA N MANIEX EFDA, EFODA, MBA
Dental Assistant
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (586) 753-1323
SHAYNAH GOLDFINE D.P.M.
Podiatrist (Foot & Ankle Surgery)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7607
ALEXANDER ORMAN DO
Emergency Medicine
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7425
YELENA FAYNZILBERT DO
General Practice
27351 DEQUINDRE RD
MADISON HTS, MI 48071
Oakland County (248) 967-7795
MRS. LINDA BUBENKO
Pharmacist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 967-7041

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 Swarup Misra's NPI number?

The NPI number for Swarup Misra is 1396905121. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Swarup Misra located?

Swarup Misra practices at 27351 Dequindre Rd, Madison Hts, MI 48071. The listed phone number is (248) 967-7795.

What is Swarup Misra's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Swarup Misra enrolled in Medicare?

Yes. Swarup 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 Swarup Misra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Swarup Misra reassigns Medicare benefits to 3 organizations: Wake Forest Emergency Providers (Statesville, NC), Atrium Health North Market Network LLC (Mooresville, NC) and Emergency Medicine Physicians Of Mecklenburg County, PLLC (Charlotte, NC). 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 Swarup Misra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Swarup Misra accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Swarup 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 Swarup Misra affiliated with any hospitals?

According to CMS data, Swarup Misra is affiliated with Carolinas Medical Center/Behav Health, Stanly Regional Medical Center and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Swarup Misra was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.