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ABHAY MISHRA MD
NPI 1982129805
Hospitalist in Kansas City, KS

Active since August 11, 2017PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BOULEVARD HOSPITAL MEDICINE, KANSAS CITY, KS 66160(913) 588-1422(913) 588-3877 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2023, Aug 25, 2019, Nov 7, 2017 and 1 more (4 updates tracked since 2017).

About Abhay Mishra Md NPPES

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

ABHAY MISHRA MD (NPI 1982129805) is an individual hospitalist provider in Kansas City, Kansas, licensed in Kansas (04-47662) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982129805
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameABHAY MISHRACredential: MD
Location Address3901 RAINBOW BOULEVARD HOSPITAL MEDICINEKansas City, KS 66160-2017
Mailing Address3901 Rainbow Blvd Hospital MedicineKansas City, KS 66160-8500 · (913) 588-1422 · Fax (913) 588-3877
Phone(913) 588-1422
Fax(913) 588-3877
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 11, 2017
Last NPPES UpdateJuly 11, 20234 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1982129805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in KS · 04-47662
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License 2017027308 (MO)
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 4351045572 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3901 RAINBOW BOULEVARD HOSPITAL MEDICINE, Kansas City, KS 66160
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12301 Holmes Department of Medicine, Truman Medical Centre,Kansas City, MO 64108 · Phone (816) 404-0958 · Fax (816) 404-0959
Location 24160 John R St Ste 908Detroit, MI 48201-2017 · Phone (313) 745-7145

Accepted Insurance

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

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

Abhay Mishra Md 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 ID5395093702
PECOS Enrollment IDI20230801002055
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 Abhay Mishra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kansas University Physicians Inc
0.2 mi
Obstetrics & Gynecology
4000 CAMBRIDGE ST
Kansas City, KS 66160
  • Reassigned Medicare billing, Kansas enrollment
  • 2,139 clinicians in this Medicare group
NPI 1053457978 (913) 588-1227

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

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
88 services87 patients
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.
79 services44 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

University Of Ks Hlth System Great Bend Campus

Acute Care Hospitals · Great Bend, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170191
Location514 Cleveland StreetGreat Bend, KS 67530 · Barton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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 Abhay Mishra's NPI number?

The NPI number for Abhay Mishra is 1982129805. It was assigned to this individual provider in the NPPES registry on August 11, 2017.

Where is Abhay Mishra located?

Abhay Mishra practices at 3901 Rainbow Boulevard Hospital Medicine, Kansas City, KS 66160. The listed phone number is (913) 588-1422.

What is Abhay Mishra's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Abhay Mishra enrolled in Medicare?

Yes. Abhay 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 Abhay Mishra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhay Mishra reassigns Medicare benefits to Kansas University Physicians Inc (Kansas City, KS). 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 Abhay Mishra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhay Mishra accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company list Abhay 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 Abhay Mishra affiliated with any hospitals?

According to CMS data, Abhay Mishra is affiliated with University Of Kansas Hospital and University Of Ks Hlth System Great Bend Campus.

When was this NPI record last updated?

The NPPES record for Abhay Mishra was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.