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KEERANMAYEE MISHRA MD
NPI 1619766235
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Active since May 01, 2025PECOS Enrolled
44405 WOODWARD AVE, TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPT, PONTIAC, MI 48341(248) 858-6233 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keeranmayee Mishra Md NPPES

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

KEERANMAYEE MISHRA MD (NPI 1619766235) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619766235
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKEERANMAYEE MISHRACredential: MD
Location Address44405 WOODWARD AVE, TRINITY HEALTH OAKLAND, GRADUATE MEDICAL EDUCATION DEPTPontiac, MI 48341
Mailing Address44405 Woodward Ave, Trinity Health Oakland, Graduate Medical Education DeptPontiac, MI 48341
Phone(248) 858-6233
Sole ProprietorNo
Enumeration DateMay 1, 2025
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1619766235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

44405 WOODWARD AVE, TRINITY HEALTH OAKLAND, Pontiac, MI 48341
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keeranmayee Mishra Md 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.

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 Keeranmayee Mishra's NPI number?

The NPI number for Keeranmayee Mishra is 1619766235. It was assigned to this individual provider in the NPPES registry on May 1, 2025.

Where is Keeranmayee Mishra located?

Keeranmayee Mishra practices at 44405 Woodward Ave, Trinity Health Oakland Graduate Medical Education Dept, Pontiac, MI 48341. The listed phone number is (248) 858-6233.

What is Keeranmayee Mishra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keeranmayee Mishra enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keeranmayee Mishra was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.