Dr Suprav Mishra, MD - Medicare Internal Medicine in Dorchester, MA

Dr Suprav Mishra, MD is a medicare enrolled "Internal Medicine" physician in Dorchester, Massachusetts. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Steward Medical Group Inc and his current practice location is 2100 Dorchester Ave, Dorchester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 296-4000.

Dr Suprav Mishra is licensed to practice in Massachusetts (license number 252898) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497010748.

Contact Information

Dr Suprav Mishra, MD
2100 Dorchester Ave,
Dorchester, MA 02124-5615
(617) 296-4000
Not Available

Map and Direction




Physician's Profile

Full NameDr Suprav Mishra
GenderMale
SpecialityInternal Medicine
Experience13 Years
Location2100 Dorchester Ave, Dorchester, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Suprav Mishra graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1497010748
  • Provider Enumeration Date: 07/11/2012
  • Last Update Date: 08/31/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7416177068
  • Enrollment ID: I20141001002579

Medical Identifiers

Medical identifiers for Dr Suprav Mishra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497010748NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 257914 (Massachusetts)Secondary
207R00000XInternal Medicine 252898 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carney HospitalBoston, MAHospital
St Elizabeth's Medical CenterBrighton, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Steward Medical Group Inc28606887281338

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Suprav Mishra allows following entities to bill medicare on his behalf.
Entity NameSound Physicians Of Massachusetts Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740678408
PECOS PAC ID: 2062554637
Enrollment ID: O20100120000133
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007
Entity NameSound Physicians Of Massachusetts Ii Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306376397
PECOS PAC ID: 9436421567
Enrollment ID: O20170823003703

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Suprav Mishra is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Internal Medicine Doctors in Dorchester, MA

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Dr. Emeka Agudile, MD
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Anastasia Maltseva, MD
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Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124
Phone: 617-506-2726    
Dr. Omodamola Abisola Aje,
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Medicare: Medicare Enrolled
Practice Location: 2100 Dorchester Ave, Dorchester, MA 02124
Phone: 617-506-2726    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.