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SUSMITA MISHRA M.D.
NPI 1912057936
Internal Medicine in Sacramento, CA

Active since January 11, 2007PECOS EnrolledAccepts Medicare Assignment
4860 Y ST, SUITE 2500, SACRAMENTO, CA 95817(916) 734-6670(916) 734-6666 Get Directions Write a Review

NPPES record last updated: September 26, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susmita Mishra M.d. NPPES

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

SUSMITA MISHRA M.D. (NPI 1912057936) is an individual internal medicine provider in Sacramento, California, licensed in California (C52010) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1995).

NPPES Registry Identity

NPI1912057936
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSUSMITA MISHRACredential: M.D.
Location Address4860 Y ST, SUITE 2500Sacramento, CA 95817-2307
Mailing Address4860 Y St, Suite 2500Sacramento, CA 95817-2307 · (916) 734-6670 · Fax (916) 734-6666
Phone(916) 734-6670
Fax(916) 734-6666
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1995
Enumeration DateJanuary 11, 2007
Last NPPES UpdateSeptember 26, 2007
✔ NPI 1912057936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · C52010
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4860 Y ST, Sacramento, CA 95817
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH12868IL
Medicare PIN00C520100CA

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

Susmita 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.

PECOS PAC ID1254364219
PECOS Enrollment IDI20070302000430
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.

Medicare Billing Reassignment

Medicare enrollment records show Susmita Mishra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Sacramento
79 mi
Federally Qualified Health Center (FQHC)
4600 BROADWAY, SUITE 1100
Sacramento, CA 95820
  • Reassigned Medicare billing, California enrollment
  • 135 clinicians in this Medicare group
NPI 1366513061 (916) 874-9670

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $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.

MICHELLE PALVOLGYI M.D.
Student in an Organized Health Care Education/Training Program
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
KATHRYN D NEWELL M.D.
Internal Medicine
4860 Y ST, SUITE 0101
SACRAMENTO, CA 95817
Sacramento County (916) 734-4843
DR. SARAH GONG MD
Internal Medicine
4860 Y ST, SUITE 0100
SACRAMENTO, CA 95817
Sacramento County (916) 734-3514
BRIAN JOVES M.D.
Physical Medicine & Rehabilitation
4860 Y ST, SUITE 3850
SACRAMENTO, CA 95817
Sacramento County (916) 734-5292
JAYLA WATKINS MD
Obstetrics & Gynecology
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6978
JONATHAN BINDI MD
General Acute Care Hospital
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6602
REGENTS OF THE UNIV OF CA
Obstetrics & Gynecology (Maternal & Fetal Medicine)
4860 Y ST
SACRAMENTO, CA 95817
Sacramento County (916) 734-6930
DR. SANDHYA VENUGOPAL M.D.
Internal Medicine (Cardiovascular Disease)
4860 Y ST, SUITE 2820
SACRAMENTO, CA 95817
Sacramento County (916) 734-3764

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 Susmita Mishra's NPI number?

The NPI number for Susmita Mishra is 1912057936. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Susmita Mishra located?

Susmita Mishra practices at 4860 Y St Suite 2500, Sacramento, CA 95817. The listed phone number is (916) 734-6670.

What is Susmita Mishra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susmita Mishra enrolled in Medicare?

Yes. Susmita 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 organization bills Medicare for Susmita Mishra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susmita Mishra reassigns Medicare benefits to County Of Sacramento (Sacramento, CA). The 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 Susmita Mishra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susmita Mishra was last updated on September 26, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.