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ATREYA MISHRA
NPI 1629828983
Student in an Organized Health Care Education/Training Program in Oak Park, IL

Active since March 26, 2024PECOS Enrolled
632 FAIR OAKS AVE, OAK PARK, IL 60302(773) 397-6907 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atreya Mishra NPPES

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

ATREYA MISHRA (NPI 1629828983) is an individual student in an organized health care education/training program in Oak Park, Illinois and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629828983
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameATREYA MISHRA
Location Address632 FAIR OAKS AVEOak Park, IL 60302-1738
Mailing Address632 Fair Oaks AveOak Park, IL 60302-1738 · (773) 397-6907
Phone(773) 397-6907
Sole ProprietorNo
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1629828983 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.
632 FAIR OAKS AVE, Oak Park, IL 60302
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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)

Atreya Mishra 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 Atreya Mishra's NPI number?

The NPI number for Atreya Mishra is 1629828983. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Atreya Mishra located?

Atreya Mishra practices at 632 Fair Oaks Ave, Oak Park, IL 60302. The listed phone number is (773) 397-6907.

What is Atreya 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 Atreya Mishra enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Atreya Mishra was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.