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ABHINAV KUMAR MISRA MBBS
NPI 1912347980
Internal Medicine - Pulmonary Disease in Riverside, RI

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
375 WAMPANOAG TRAIL, PULMONARY & SLEEP MEDICINE, RIVERSIDE, RI 02915(401) 649-4070(401) 649-4071 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2020, Aug 31, 2020, Feb 27, 2020 (3 updates tracked since 2020).

About Abhinav Kumar Misra Mbbs NPPES

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

ABHINAV KUMAR MISRA MBBS (NPI 1912347980) is an individual pulmonary disease provider in Riverside, Rhode Island, licensed in Rhode Island (MD17190) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Laredo Medical Center, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1912347980
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameABHINAV KUMAR MISRACredential: MBBS
Location Address375 WAMPANOAG TRAIL, PULMONARY & SLEEP MEDICINERiverside, RI 02915
Mailing Address110 Elm Street, Dept Of CredentialingProvidence, RI 02903-3017 · (401) 443-4992 · Fax (202) 877-6292
Phone(401) 649-4070
Fax(401) 649-4071
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 5, 2013
Last NPPES UpdateSeptember 18, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2020
✔ NPI 1912347980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in RI · MD17190
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MTL001692 (DC)
375 WAMPANOAG TRAIL, Riverside, RI 02915
Open in Google Maps ↗

Secondary Practice Location 1

Location 12 Dudley StProvidence, RI 02905-3236 · Phone (401) 444-5471 · Fax (401) 444-4557

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Abhinav Kumar Misra Mbbs 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 ID5991121964
PECOS Enrollment IDI20250930004733
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Laredo Medical Center

Acute Care Hospitals · Laredo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450029
Location1700 East SaundersLaredo, TX 78044 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers19 claims19 services$33.99 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers13 claims13 services$42.52 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers13 claims13 services$17.22 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers24 claims120 services$2.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier29 claims40 services$14.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$3.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PREETI GUPTA MD
Psychiatry & Neurology (Neurology)
375 WAMPANOAG TRAIL, SUITE 405B
EAST PROVIDENCE, RI 02915
Providence County (401) 526-0100
NICOLE FONTES DPT
Physical Therapist
375 WAMPANOAG TRAIL, SUITE 403
EAST PROVIDENCE, RI 02915
Providence County (401) 270-8770
ANTHONY M REGINATO MD
Internal Medicine (Rheumatology)
375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915
Providence County (401) 649-4040
EDWARD V LALLY MD
Internal Medicine (Rheumatology)
375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915
Providence County (401) 649-4040
ROBERT Y VELASCO M.D.
Internal Medicine
375 WAMPANOAG TRAIL
EAST PROVIDENCE, RI 02915
Providence County (401) 649-4050
STUART T SCHWARTZ MD
Internal Medicine (Rheumatology)
375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915
Providence County (401) 649-4040

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 Abhinav Misra's NPI number?

The NPI number for Abhinav Misra is 1912347980. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Abhinav Misra located?

Abhinav Misra practices at 375 Wampanoag Trail Pulmonary & Sleep Medicine, Riverside, RI 02915. The listed phone number is (401) 649-4070.

What is Abhinav Misra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Abhinav Misra enrolled in Medicare?

Yes. Abhinav Misra 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.

What insurance does Abhinav Misra accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Abhinav Misra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abhinav Misra affiliated with any hospitals?

According to CMS data, Abhinav Misra is affiliated with Laredo Medical Center.

When was this NPI record last updated?

The NPPES record for Abhinav Misra was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.