DR. SUPRAV MISHRA M.D.
NPI 1497010748
Internal Medicine in Dorchester, MA
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 Good Samaritan Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Suprav Mishra reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02118
- Reassigned Medicare billing, Massachusetts enrollment
- 716 clinicians in this Medicare group
Boston, MA 02135
- Reassigned Medicare billing, Massachusetts enrollment
- 13 clinicians in this Medicare group
Watertown, MA 02472
- Reassigned Medicare billing, Massachusetts enrollment
- 1,103 clinicians in this Medicare group
Stoughton, MA 02072
- Reassigned Medicare billing, Massachusetts enrollment
- 337 clinicians in this Medicare group
Brockton, MA 02301
- Reassigned Medicare billing, Massachusetts enrollment
- 173 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Good Samaritan Medical Center
Acute Care Hospitals · Brockton, MAPhysician 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.
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
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.
DORCHESTER, MA 02124
DORCHESTER CENTER, MA 02124
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.
Which organizations bill Medicare for Suprav Mishra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suprav Mishra reassigns Medicare benefits to 5 organizations: Bmc Affiliated Physicians, Inc. (Boston, MA), Rohit Rattan MD PLLC (Boston, MA), Steward Medical Group, Inc (Watertown, MA), Sound Physicians Of Massachusetts, Inc (Stoughton, MA) and Sound Physicians Of Massachusetts II PC (Brockton, MA). 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 Suprav Mishra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suprav Mishra accept?
Health plans from Anthem Blue Cross and Blue Shield and WellSense Health Plan 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 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 9 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. Suprav Mishra, M.D. · NPI 1497010748
Internal Medicine physician in Dorchester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 11, 2012.
## Identity
- **NPI:** 1497010748 (Entity type: Individual)
- **Enumerated:** July 11, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 252898 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2100 DORCHESTER AVE, Dorchester, MA 02124-5615
- **Phone:** (617) 296-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Bmc Affiliated Physicians, Inc. (NPI 1245320910, Boston, MA); Rohit Rattan MD PLLC (NPI 1780396937, Boston, MA); Steward Medical Group, Inc (NPI 1629398219, Watertown, MA); Sound Physicians Of Massachusetts, Inc (NPI 1245784446, Stoughton, MA); Sound Physicians Of Massachusetts II PC (NPI 1306376397, Brockton, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** August 31, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1497010748) · Data from the CMS NPPES public registry.