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DR. PRASANTHI KODURU MISHRA M.D.
NPI 1437353802
Pediatrics - Neonatal-Perinatal Medicine in Anaheim, CA

Active since June 12, 2007PECOS Enrolled
3440 E LA PALMA AVE, ANAHEIM, CA 92806(714) 644-7040 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2021, Mar 28, 2016 (2 updates tracked since 2016).

About Dr. Prasanthi Koduru Mishra M.d. NPPES

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

DR. PRASANTHI KODURU MISHRA M.D. (NPI 1437353802) is an individual neonatal-perinatal medicine provider in Anaheim, California, licensed in California (A98005) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437353802
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. PRASANTHI KODURU MISHRACredential: M.D.
Location Address3440 E LA PALMA AVEAnaheim, CA 92806-2020
Mailing Address3440 E La Palma AveAnaheim, CA 92806-2020
Phone(714) 644-7040
Sole ProprietorNo
Enumeration DateJune 12, 2007
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1437353802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A98005
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License A98005 (CA)
3440 E LA PALMA AVE, Anaheim, CA 92806
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Other Names 1

Former Name (1)Dr. Prasanthi Koduru M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prasanthi Koduru Mishra M.d. 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.

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. STEPHEN SEONGEUN KOH M.D., PH.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3440 E LA PALMA AVE, KAISER ANAHEIM, DEPT OF PATHOLOGY
ANAHEIM, CA 92806
Orange County (714) 644-6160
STEPHEN WAYNE LEONG
Technician, Other
3440 E LA PALMA AVE
ANAHEIM, CA 92806
Orange County (714) 644-7570
DWIGHT MARSHALL TAN VILLANUEVA RRT
Respiratory Therapist, Registered
3440 E LA PALMA AVE
ANAHEIM, CA 92806
Orange County (714) 644-2000
HALEY MARTIN
Nurse Anesthetist, Certified Registered
3440 E LA PALMA AVE
ANAHEIM, CA 92806
Orange County (317) 644-9054
DR. ANDREW J HWANG M. D.
Radiology (Diagnostic Radiology)
3440 E LA PALMA AVE, AMC DEPARTMENT OF RADIOLOGY
ANAHEIM, CA 92806
Orange County (714) 644-2000
KRYSTYN PARKS RD
Dietitian, Registered
3440 E LA PALMA AVE
ANAHEIM, CA 92806
Orange County (714) 644-6750
LISA ANSALDO THEOS RRT-NPS
Technician, Other
3440 E LA PALMA AVE
ANAHEIM, CA 92806
Orange County (714) 644-7570
SMRITI SHRESTHA THEBE
Nurse Practitioner
3440 E LA PALMA AVE
ANAHEIM, CA 92806
Orange County (714) 644-6650

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 Prasanthi Mishra's NPI number?

The NPI number for Prasanthi Mishra is 1437353802. It was assigned to this individual provider in the NPPES registry on June 12, 2007. The provider is also known as Dr. Prasanthi Koduru M.D..

Where is Prasanthi Mishra located?

Prasanthi Mishra practices at 3440 E La Palma Ave, Anaheim, CA 92806. The listed phone number is (714) 644-7040.

What is Prasanthi Mishra's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Prasanthi Mishra enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Prasanthi Mishra was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.