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DR. NISHAD MYSORE DO
NPI 1649023631
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since April 09, 2024PECOS Enrolled
4499 MEDICAL DR STE 171, SAN ANTONIO, TX 78229(346) 550-6457 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nishad Mysore Do NPPES

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

DR. NISHAD MYSORE DO (NPI 1649023631) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649023631
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NISHAD MYSORECredential: DO
Location Address4499 MEDICAL DR STE 171San Antonio, TX 78229-3789
Mailing Address4499 Medical Dr Ste 171San Antonio, TX 78229-3789
Phone(346) 550-6457
Sole ProprietorYes
Enumeration DateApril 9, 2024
NPPES CertifiedApril 9, 2024
✔ NPI 1649023631 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.
4499 MEDICAL DR STE 171, San Antonio, TX 78229
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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)

Dr. Nishad Mysore Do 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.

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.

SARITA THANEDAR
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (346) 550-6457
VIDUR SHAH DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
USMAN NAZEER MD
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
SASANKA THUPILI DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 464-7563
SEBASTIAN ECHEGARAY MD
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
VICTORIA REMILEKUN DELANO DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
MIA KANG LETSON DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
DR. RAMONA ALVARADO DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002

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 Nishad Mysore's NPI number?

The NPI number for Nishad Mysore is 1649023631. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Nishad Mysore located?

Nishad Mysore practices at 4499 Medical Dr Ste 171, San Antonio, TX 78229. The listed phone number is (346) 550-6457.

What is Nishad Mysore's specialty?

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

Is Nishad Mysore enrolled in Medicare?

Yes. Nishad Mysore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nishad Mysore was last updated on April 9, 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.