DR. PRASANTHI KODURU MISHRA M.D.
NPI 1437353802
Pediatrics - Neonatal-Perinatal Medicine in Anaheim, CA
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
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Prasanthi Mishra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 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.
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.
ANAHEIM, CA 92806
ANAHEIM, CA 92806
ANAHEIM, CA 92806
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.
Which organization bills Medicare for Prasanthi Mishra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prasanthi Mishra reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The 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 Prasanthi Mishra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Prasanthi Koduru Mishra, M.D. · NPI 1437353802
Neonatal-Perinatal Medicine physician in Anaheim, California. Individual provider, active in the CMS NPPES registry since June 12, 2007.
## Identity
- **NPI:** 1437353802 (Entity type: Individual)
- **Enumerated:** June 12, 2007
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** A98005 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3440 E LA PALMA AVE, Anaheim, CA 92806-2020
- **Phone:** (714) 644-7040
## 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:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1437353802) · Data from the CMS NPPES public registry.