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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PRATISHTHA MISHRA BDS, MDS, MS
NPI 1477112043
Dentist in Chicago, IL

Active since June 07, 2019PECOS Enrolled
100/100
CMS Quality Rating
801 S PAULINA ST, CHICAGO, IL 60612(312) 355-1229 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 26, 2026, Jul 20, 2020, Nov 12, 2019 and 2 more (5 updates tracked since 2019).

About Pratishtha Mishra Bds, Mds, Ms NPPES

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

PRATISHTHA MISHRA BDS, MDS, MS (NPI 1477112043) is an individual dentist in Chicago, Illinois, licensed in Illinois (136.000287) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1477112043
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NamePRATISHTHA MISHRACredential: BDS, MDS, MS
Location Address801 S PAULINA STChicago, IL 60612-7210
Mailing Address801 S Paulina StChicago, IL 60612-7210 · (312) 996-7555
Phone(312) 355-1229
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 7, 2019
Last NPPES UpdateAugust 26, 20265 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1477112043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 136.000287
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · Orofacial PainTaxonomy 1223X2210X · License 136.000287 (IL)
801 S PAULINA ST, Chicago, IL 60612
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pratishtha Mishra Bds, Mds, Ms 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 ID9739417924
PECOS Enrollment IDI20190826003976
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.

Areas of Expertise CMS Part B claims 2

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.

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.
17 services11 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

KENNETH GEHRKE DDS
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Cook County (312) 355-1661
DR. NATHANIEL DANCYKIER D.D.S.
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-8925
PAULINE PHAM DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-1222
DR. RACHEL LYN DZIUBA DMD
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MARY ROMAN DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7514
ANDREA E REALE REYES
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-9158
RUBA HALASA
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-2669
AMANDA BEATRIZ RODRIGUEZ BETANCOURT DDS
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555

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 Pratishtha Mishra's NPI number?

The NPI number for Pratishtha Mishra is 1477112043. It was assigned to this individual provider in the NPPES registry on June 7, 2019.

Where is Pratishtha Mishra located?

Pratishtha Mishra practices at 801 S Paulina St, Chicago, IL 60612. The listed phone number is (312) 355-1229.

What is Pratishtha Mishra's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Pratishtha Mishra enrolled in Medicare?

Yes. Pratishtha Mishra 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.

What insurance does Pratishtha Mishra accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Pratishtha Mishra 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 Pratishtha Mishra was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.