DR. SUPRAV MISHRA M.D.
NPI 1497010748
Internal Medicine in Dorchester, MA

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
2100 DORCHESTER AVE, DORCHESTER, MA 02124(617) 296-4000 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Suprav Mishra M.d. NPPES

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

DR. SUPRAV MISHRA M.D. (NPI 1497010748) is an individual internal medicine provider in Dorchester, Massachusetts, licensed in Massachusetts (252898) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1497010748
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUPRAV MISHRACredential: M.D.
Location Address2100 DORCHESTER AVEDorchester, MA 02124-5615
Mailing Address2100 Dorchester AveDorchester, MA 02124-5615 · (617) 296-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 11, 2012
Last NPPES UpdateAugust 31, 2017
NPI 1497010748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 252898
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 257914 (MA)
2100 DORCHESTER AVE, Dorchester, MA 02124

Accepted 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

Dr. Suprav Mishra M.d. 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 ID7416177068
PECOS Enrollment IDI20141001002579
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services43 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Good Samaritan Medical Center

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220111
Location235 North Pearl StreetBrockton, MA 02301 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02124 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
90%31 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pharmacist
2100 DORCHESTER AVE, SEMC GPU AT CARNEY HOSPITAL
DORCHESTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE, CARITAS CARNEY HOSPITAL, 7 SOUTH
DORCHESTER, MA 02124
Durable Medical Equipment & Medical Supplies
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Long Term Care Hospital
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Emergency Medicine
2100 DORCHESTER AVE
DORCHESTER, MA 02124
Internal Medicine
2100 DORCHESTER AVE
DORCHESTER, MA 02124
Emergency Medicine
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124
Psychiatry & Neurology (Psychiatry)
2100 DORCHESTER AVE
DORCHESTER CENTER, MA 02124

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 Suprav Mishra's NPI number?

The NPI number for Suprav Mishra is 1497010748. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Suprav Mishra located?

Suprav Mishra practices at 2100 Dorchester Ave, Dorchester, MA 02124. The listed phone number is (617) 296-4000.

What is Suprav Mishra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Suprav Mishra enrolled in Medicare?

Yes. Suprav 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 Suprav Mishra accept?

Health plans from Anthem Blue Cross and Blue Shield list Suprav 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.

Is Suprav Mishra affiliated with any hospitals?

According to CMS data, Suprav Mishra is affiliated with South Shore Hospital and Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Suprav Mishra was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.