VIJAY LAXMI MISRA (M.D.) – Gastroenterology Physician, NPI 1164475877

VIJAY LAXMI MISRA (M.D.) is a healthcare provider. based in Normal, Illinois. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 036126566 (IL). The NPI Number for VIJAY LAXMI MISRA (M.D.) is 1164475877

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
VIJAY LAXMI MISRA (M.D.)
NPI
1164475877
Phone
(309) 454-5900
Address
1302 FRANKLIN AVE STE 4800
Enumeration Date
17 May 2006
Last Update Date
28 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3094545900
Graduation Year
1999 (27 years ago)
PAC ID
3971545823
Group Practice PAC ID
5193857423
Professional Enrollment ID
I20110107000891
Address ID
IL617613595NO1302XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

978 GASTROENTEROLOGY in IL

Provider Addresses for VIJAY LAXMI MISRA (M.D.)

  • 1302 FRANKLIN AVE STE 4800

    NORMAL, IL 617613595

    Phone: (309) 454-5900

    Fax: (309) 454-2820

    Type: Mailing

  • 1228 TOWANDA AVE STE 1

    BLOOMINGTON, IL 617013469

    Phone: (309) 454-5900

    Fax: (309) 454-2820

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 224 Open Payments records for all available years, with a total value of $4,113.

Total Amount is formed as General ($4,113) + Research ($0) + Ownership ($0) = $4,113.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,567).

Total Amount

$4,113

General + Research + Ownership

Payments

224

Total payment records

General Amount

$4,113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

2

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110107000891IGastroenterologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes201156$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare196193$0
45380Biopsy of large bowel using a flexible endoscope170170$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope134129$0
46221Removal of external hemorrhoids by rubber banding5019$0
View full utilization report →

Insurance plans in this area (ZIP 61761)

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Provider's Procedures

VIJAY LAXMI MISRA (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYIL45385Removal of polyps or growths of large bowel using an endoscope10098

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193857423View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Physician AssistantIL
Nurse PractitionerIL
Gastroenterology, Internal MedicineIL
G A S T R O E N T E R O L O G YIL
P A T H O L O G YWI
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YIL
-IL
G A S T R O E N T E R O L O G YIL

Reviews

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Frequently asked questions

What identifier follows VIJAY LAXMI MISRA (M.D.) across health systems?
The NPI 1164475877 uniquely identifies VIJAY LAXMI MISRA (M.D.) in U.S. healthcare data.
Is VIJAY LAXMI MISRA (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists VIJAY LAXMI MISRA (M.D.) as active.
What services align with VIJAY LAXMI MISRA (M.D.)'s listing?
VIJAY LAXMI MISRA (M.D.)'s public classification highlights Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is VIJAY LAXMI MISRA (M.D.) tied to Normal, Illinois?
If you are local to Normal, Illinois, VIJAY LAXMI MISRA (M.D.) may be relevant to your search.
Can I export VIJAY LAXMI MISRA (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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