DR. VINOD K MISRA (MD PHD) – Clinical Genetics (M.D.) Physician, NPI 1861402497

DR. VINOD K MISRA (MD PHD) is a healthcare provider. based in Detroit, Michigan. specializing in Clinical Genetics (M.D.) Physician. They hold the professional credentials MD PHD. They hold a License No. 4301079084 (MI). The NPI Number for DR. VINOD K MISRA (MD PHD) is 1861402497

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. VINOD K MISRA (MD PHD)
NPI
1861402497
Phone
(734) 832-9122
Address
3950 BEAUBIEN ST
Enumeration Date
8 August 2006
Last Update Date
1 October 2012

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
3137454405
Graduation Year
1995 (31 years ago)
PAC ID
2365330735
Group Practice PAC ID
9638070568
Professional Enrollment ID
I20040308000624
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. VINOD K MISRA (MD PHD)

  • DMC Children's Hospital of Michigan Specialty Center, 3950, Beaubien Street, Midtown, Detroit, Wayne County, Michigan, 48201, United States

    DETROIT, MI 482012120

    Phone: (734) 832-9122

    Mailing address matches the actual address.

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: 2004-03-08

PECOS data refreshed: 2026-06-15

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
I20040308000624IPediatric 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.

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: 9638070568View full group profile
NameSpecialtyState
Pediatric MedicineMI
Pediatric MedicineMI
Pediatric MedicineOH
Pediatric MedicineMI
Pediatric MedicineMI
Nurse PractitionerMI
-MI
Nephrology, Pediatric MedicineMI
-MI
Pediatric MedicineTN

Reviews

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Frequently asked questions

Where can patients find DR. VINOD K MISRA (MD PHD)'s NPI?
You can confirm DR. VINOD K MISRA (MD PHD) with NPI 1861402497; it appears in the national provider directory.
Is DR. VINOD K MISRA (MD PHD) active in the national directory?
DR. VINOD K MISRA (MD PHD)'s public NPI profile is in an active state.
What does DR. VINOD K MISRA (MD PHD) treat or focus on?
Patients typically see DR. VINOD K MISRA (MD PHD) under the specialty Clinical Genetics (M.D.) Physician. Clinical services aligned with this taxonomy classification.
Where is DR. VINOD K MISRA (MD PHD)'s primary listing?
We display Detroit, Michigan because that is what the record indicates for DR. VINOD K MISRA (MD PHD).
Is DR. VINOD K MISRA (MD PHD) a real provider?
This page reflects official NPPES data for NPI 1861402497. Always confirm identity and privileges with the practice and licensing boards.

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