| Dr Suprav Mishra, MD | |
|
2100 Dorchester Ave, Dorchester, MA 02124-5615 | |
| (617) 296-4000 | |
| Not Available |
| Full Name | Dr Suprav Mishra |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 15 Years |
| Location | 2100 Dorchester Ave, Dorchester, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497010748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 257914 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 252898 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Medical Center | Brockton, MA | Hospital |
| Copley At Stoughton Nursing Care Center | Stoughton, MA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Rohit Rattan Md Pllc | 5294105144 | 2 |
| Bmc Affiliated Physicians, Inc. | 9830133123 | 376 |
| Entity Name | Bmc Affiliated Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245320910 PECOS PAC ID: 9830133123 Enrollment ID: O20050617000054 |
| Entity Name | Sound Physicians Of Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740678408 PECOS PAC ID: 2062554637 Enrollment ID: O20100120000133 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000332 |
| Entity Name | Sound Physicians Of Massachusetts Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306376397 PECOS PAC ID: 9436421567 Enrollment ID: O20170823003703 |
| Entity Name | Rohit Rattan Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780396937 PECOS PAC ID: 5294105144 Enrollment ID: O20230110002078 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suprav Mishra, MD 2100 Dorchester Ave, Dorchester, MA 02124-5615 Ph: (617) 296-4000 | Dr Suprav Mishra, MD 2100 Dorchester Ave, Dorchester, MA 02124-5615 Ph: (617) 296-4000 |
Jugta Khuman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Island View Pl, Apt#603, Dorchester, MA 02125 Phone: 215-687-0833 | |
Dr. Dana Marie Hornbeak, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 Dorchester Ave, Caritas Carney Hospital, 7 South, Dorchester, MA 02124 Phone: 617-506-2726 | |
Ramninder Singh Nagra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 | |
Jean J Alves, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 Bowdoin St, Dorchester, MA 02122 Phone: 617-754-0066 | |
Dr. Emeka Agudile, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 | |
Dr. Omodamola Abisola Aje, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 | |
Mrs. Haixia Jia, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124 Phone: 617-506-2726 |