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NIVEDITA MANDAL MISHRA MD
NPI 1699352278
Internal Medicine - Gastroenterology in Maywood, IL

Active since March 28, 2021PECOS Enrolled
2160 S 1ST AVE, MAYWOOD, IL 60153(888) 584-7888 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2026, Apr 23, 2024, May 12, 2021 and 1 more (4 updates tracked since 2021).

About Nivedita Mandal Mishra Md NPPES

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

NIVEDITA MANDAL MISHRA MD (NPI 1699352278) is an individual gastroenterology provider in Maywood, Illinois, licensed in Illinois (125078016) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699352278
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameNIVEDITA MANDAL MISHRACredential: MD
Location Address2160 S 1ST AVEMaywood, IL 60153-3328
Mailing Address2160 S 1st AveMaywood, IL 60153-3328
Phone(888) 584-7888
Sole ProprietorNo
Enumeration DateMarch 28, 2021
Last NPPES UpdateFebruary 5, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1699352278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 125078016
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 125.078016 (IL)
2160 S 1ST AVE, Maywood, IL 60153
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nivedita Mandal 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

DR. MICHAEL JM RAFFIN PH.D.
Audiologist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
MS. SONYA RESCHLY M.S.
Audiologist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
YING SUN M.S.
Specialist
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-3821
MRS. KATHLEEN E. SCHORE M.S., CCC-A
Specialist
2160 S 1ST AVE, LUMC/AUDIOLOGY
MAYWOOD, IL 60153
Cook County (708) 206-3821
KEVIN J EMBACH M.D.
Internal Medicine
2160 S 1ST AVE, LOYOLA UNIV. HOSPITAL, ROOM 7604
MAYWOOD, IL 60153
Cook County (708) 216-8757
J PAUL OKEEFE MD
Internal Medicine (Infectious Disease)
2160 S 1ST AVE, (1950 S. HARLEM AVE., NORTH RIVERSIDE, IL. 60546)
MAYWOOD, IL 60153
Cook County (708) 354-9250
STUART BRIAN JOHNSON MD
Internal Medicine (Infectious Disease)
2160 S 1ST AVE, 101-1740 LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Cook County (708) 216-3232
KAMIL MUZAFFAR MD
Otolaryngology
2160 S 1ST AVE, (9608 ROBERTS RD., HICKORY HILLS, IL. 60457)
MAYWOOD, IL 60153
Cook County (708) 233-5333

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 Nivedita Mishra's NPI number?

The NPI number for Nivedita Mishra is 1699352278. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Where is Nivedita Mishra located?

Nivedita Mishra practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (888) 584-7888.

What is Nivedita Mishra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nivedita Mishra enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nivedita Mishra was last updated on February 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.