SUDIPTA MISRA MD
NPI 1932177052
Pediatrics - Pediatric Gastroenterology in Summerville, SC

Active since March 14, 2006PECOS Enrolled
295A MIDLAND PKWY STE 260, SUMMERVILLE, SC 29485(843) 695-2700 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Feb 21, 2018 (2 updates tracked since 2018).

About Sudipta Misra Md NPPES

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

SUDIPTA MISRA MD (NPI 1932177052) is an individual pediatric gastroenterology provider in Summerville, South Carolina, licensed in South Carolina (51197) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932177052
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameSUDIPTA MISRACredential: MD
Location Address295A MIDLAND PKWY STE 260Summerville, SC 29485-9039
Mailing Address295-a Midland ParkwaySummerville, SC 29485
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1932177052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses Licensed in SC · 51197 Licensed in NC · 2012-00929 Licensed in IL · 036097590
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
295A MIDLAND PKWY STE 260, Summerville, SC 29485

Other Identifiers 6

Medicaid5921082NC
Medicaid036097890IL
Other171H6NC · Bcbsnc
Other07215036IL · Bcbs
MedicaidG59563SC
OtherIL01Y9IL · John Deere

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sudipta Misra 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 29485 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 4

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

Surgery
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC 29485
Surgery
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC 29485
Dietitian, Registered
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC 29485
Physician Assistant
295A MIDLAND PKWY STE 260
SUMMERVILLE, SC 29485

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 Sudipta Misra's NPI number?

The NPI number for Sudipta Misra is 1932177052. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Sudipta Misra located?

Sudipta Misra practices at 295A Midland Pkwy Ste 260, Summerville, SC 29485. The listed phone number is (843) 695-2700.

What is Sudipta Misra's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Sudipta Misra enrolled in Medicare?

Yes. Sudipta Misra is registered in the Medicare PECOS enrollment system.

What insurance does Sudipta Misra accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Sudipta 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.

When was this NPI record last updated?

The NPPES record for Sudipta Misra was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.