VIRENDRA K MISRA (MD) – Neurology Physician, NPI 1780648048

VIRENDRA K MISRA (MD) is a healthcare provider. based in Thiensville, Wisconsin. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 38580 (WI). The NPI Number for VIRENDRA K MISRA (MD) is 1780648048

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
VIRENDRA K MISRA (MD)
NPI
1780648048
Phone
(414) 247-9005
Address
PO BOX 639
Enumeration Date
13 April 2006
Last Update Date
20 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4146456665
Graduation Year
1982 (44 years ago)
PAC ID
8527001023
Group Practice PAC ID
5698856375
Professional Enrollment ID
I20050606000955
Address ID
WI532042267MI1238XDRXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

509 NEUROLOGY in WI

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Provider Addresses for VIRENDRA K MISRA (MD)

  • PO BOX 639

    THIENSVILLE, WI 530920639

    Phone: (414) 247-9005

    Fax: (414) 247-9004

    Type: Mailing

  • 2603, West Rawson Avenue, Oak Creek, Milwaukee County, Wisconsin, 53154, United States

    SUITE 128

    OAK CREEK, WI 531548422

    Phone: (414) 431-6760

    Fax: (414) 431-6761

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,000.

Total Amount is formed as General ($1,000) + Research ($0) + Ownership ($0) = $1,000.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($319).

Total Amount

$1,000

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,000

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2005-06-06

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
I20050606000955INeurologyWITBD

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 53092)

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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: 5698856375View full group profile
NameSpecialtyState
N E U R O S U R G E R YWI
Internal MedicineWI
Internal Medicine, Pediatric MedicineWI

Reviews

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Frequently asked questions

What is the standard ID for VIRENDRA K MISRA (MD) in the U.S.?
In the U.S., VIRENDRA K MISRA (MD) is identified by NPI 1780648048.
Should I treat VIRENDRA K MISRA (MD) as an active provider?
Patients and plans typically see VIRENDRA K MISRA (MD) as active in the national extract.
What services align with VIRENDRA K MISRA (MD)'s listing?
VIRENDRA K MISRA (MD)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to VIRENDRA K MISRA (MD)?
VIRENDRA K MISRA (MD) is associated with Thiensville, Wisconsin in the same public data insurers reference.
Can I export VIRENDRA K MISRA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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