TUSHAR MISHRA (M.D./MBBS) – Interventional Cardiology Physician, NPI 1629504873

TUSHAR MISHRA (M.D./MBBS) is a healthcare provider. based in Detroit, Michigan. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D./MBBS. They hold a License No. 51021 (AL). The NPI Number for TUSHAR MISHRA (M.D./MBBS) is 1629504873

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
TUSHAR MISHRA (M.D./MBBS)
NPI
1629504873
Phone
(313) 745-4832
Address
4201 ST. ANTOINE STREET
Enumeration Date
10 May 2017
Last Update Date
7 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057804330
Graduation Year
2014 (12 years ago)
PAC ID
6002180072
Group Practice PAC ID
6204723752
Professional Enrollment ID
I20250619002056
Address ID
AL352111309BI801XXSWXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

1,222 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MI

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Provider Addresses for TUSHAR MISHRA (M.D./MBBS)

  • Detroit Receiving Hospital and University Health Center, 4201, Saint Antoine Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    SUITE 2-E

    DETROIT, MI 48201

    Phone: (313) 745-4832

    Type: Mailing

  • 801 PRINCETON AVE SW STE 707

    BIRMINGHAM, AL 352111309

    Phone: (205) 780-4330

    Fax: (205) 780-7775

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 121 Open Payments records for all available years, with a total value of $12,374.

Total Amount is formed as General ($12,374) + Research ($0) + Ownership ($0) = $12,374.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Abbott Laboratories ($7,890).

Total Amount

$12,374

General + Research + Ownership

Payments

121

Total payment records

General Amount

$12,374

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2025-06-19

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
I20250619002056ICardiovascular Disease (Cardiology)ALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48201)

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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: 6204723752View full group profile
NameSpecialtyState
-AL
Cardiovascular Disease (Cardiology)AL
Cardiovascular Disease (Cardiology)AL
Nurse PractitionerSC
Cardiovascular Disease (Cardiology)OH
Cardiovascular Disease (Cardiology), Internal MedicineAL
Cardiovascular Disease (Cardiology)AL
Nurse PractitionerAL
Nurse PractitionerAL
Physician AssistantAL

Reviews

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Frequently asked questions

Is there an official ID for TUSHAR MISHRA (M.D./MBBS) in U.S. healthcare records?
The official identifier for TUSHAR MISHRA (M.D./MBBS) is NPI 1629504873.
Would TUSHAR MISHRA (M.D./MBBS) appear as active to a payer?
You can treat TUSHAR MISHRA (M.D./MBBS) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is TUSHAR MISHRA (M.D./MBBS)?
TUSHAR MISHRA (M.D./MBBS) is associated with Interventional Cardiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is TUSHAR MISHRA (M.D./MBBS) located near Detroit?
TUSHAR MISHRA (M.D./MBBS) currently maps to Detroit, Michigan in this extract.
Can I trust this NPI listing for TUSHAR MISHRA (M.D./MBBS)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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