PREETI GAUTAM MISRA (MD) – Internal Medicine Physician, NPI 1174701049

PREETI GAUTAM MISRA (MD) is a healthcare provider. based in Southfield, Michigan. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 4301085344 (MI). The NPI Number for PREETI GAUTAM MISRA (MD) is 1174701049

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
PREETI GAUTAM MISRA (MD)
NPI
1174701049
Phone
(248) 354-4709
Address
28411 Northwestern Hwy
Enumeration Date
3 February 2008
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347932470
Graduation Year
1996 (30 years ago)
PAC ID
7416023247
Group Practice PAC ID
1153733324
Professional Enrollment ID
I20080903000009
Address ID
MI481521489LI37595RDXX430
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for PREETI GAUTAM MISRA (MD)

  • 28411 Northwestern Hwy

    Suite 1050

    Southfield, MI 480345544

    Phone: (248) 354-4709

    Fax: (248) 354-4807

    Type: Location

  • 24 FRANK LLOYD WRIGHT DR LBBY J2000

    ANN ARBOR, MI 481059484

    Phone: (734) 747-6766

    Type: Mailing

  • 5301, East Huron River Drive, Superior Charter Township, Washtenaw County, Michigan, 48105, United States

    YPSILANTI, MI 481971051

    Phone: (734) 712-8676

    Fax: (734) 712-3855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-09-03

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
I20080903000009IInternal MedicineMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes25487$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6362$0
99239Hospital discharge day management, more than 30 minutes4441$0
99238Hospital discharge day management, 30 minutes or less1717$0
View full utilization report →

Insurance plans in this area (ZIP 48034)

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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: 1153733324View full group profile
NameSpecialtyState
Family PracticeMI
Internal MedicineMI
Internal Medicine, Pediatric MedicineMI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
Internal MedicineMI
Family PracticeMI
Internal Medicine, Pediatric MedicineMI

Reviews

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Frequently asked questions

What identifier follows PREETI GAUTAM MISRA (MD) across health systems?
The NPI 1174701049 uniquely identifies PREETI GAUTAM MISRA (MD) in U.S. healthcare data.
Should I treat PREETI GAUTAM MISRA (MD) as an active provider?
Patients and plans typically see PREETI GAUTAM MISRA (MD) as active in the national extract.
What does the directory say PREETI GAUTAM MISRA (MD) does?
Insurance directories may phrase it differently, but here PREETI GAUTAM MISRA (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is PREETI GAUTAM MISRA (MD) tied to Southfield, Michigan?
If you are local to Southfield, Michigan, PREETI GAUTAM MISRA (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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