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DR. PRAKASH MISHRA M.D.
NPI 1942685037
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since July 30, 2015PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1501 S CALIFORNIA AVE, CHICAGO, IL 60608(773) 542-2000 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 13, 2019, Mar 8, 2019 (2 updates tracked since 2019).

About Dr. Prakash Mishra M.d. NPPES

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

DR. PRAKASH MISHRA M.D. (NPI 1942685037) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036.147199) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942685037
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PRAKASH MISHRACredential: M.D.
Location Address1501 S CALIFORNIA AVEChicago, IL 60608
Mailing Address1501 S California AveChicago, IL 60608-1732 · (773) 542-2000
Phone(773) 542-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 30, 2015
Last NPPES UpdateMarch 13, 20192 updates tracked since enumeration
✔ NPI 1942685037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 036.147199
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1501 S CALIFORNIA AVE, Chicago, IL 60608
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Dr. Prakash 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 ID1658676408
PECOS Enrollment IDI20250206003276
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
65 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services20 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
33 services33 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services13 patients

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

STEPHANIE JORDAN
Community Health Worker
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 542-2000
DR. SURAIYA I ALVI M.D.
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6843
MOUNT SINAI COMMUNITY FOUNDATION
Physician Assistant (Surgical)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6663
DR. AMARDEEP SINGH M.D.
Emergency Medicine
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6843
DR. NANCY A SIBIGTROTH M.D.
Radiology (Diagnostic Radiology)
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6498
DR. SHANTA NATH M.D.
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6184
DR. MOHAMMED AZHER KASSEM M.D
Internal Medicine
1501 S CALIFORNIA AVE, MT SINAI HOSPITAL, CANCER CARE CENTER
CHICAGO, IL 60608
Cook County (773) 257-6120
ALYNA CHIEN MD
Pediatrics
1501 S CALIFORNIA AVE
CHICAGO, IL 60608
Cook County (773) 257-6770

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 Prakash Mishra's NPI number?

The NPI number for Prakash Mishra is 1942685037. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Prakash Mishra located?

Prakash Mishra practices at 1501 S California Ave, Chicago, IL 60608. The listed phone number is (773) 542-2000.

What is Prakash Mishra's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Prakash Mishra enrolled in Medicare?

Yes. Prakash 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.

What insurance does Prakash Mishra accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Oscar Insurance Company list Prakash Mishra 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 Prakash Mishra affiliated with any hospitals?

According to CMS data, Prakash Mishra is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Prakash Mishra was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.