DR. MADHUSMITA MISRA MD MBBS NPI 1043291107

NPI Information

  • NPI: 1043291107
  • Provider Name: DR. MADHUSMITA MISRA, MD, MBBS
  • Classification: Pediatrics - 2080P0205X
  • Specialization: Pediatric Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 55 FRUIT ST
    YAW 6 PEDIATRIC ENDOCRINE ASSOCIATES
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 726-2909

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NPI Details

DR. Madhusmita Misra, MD, MBBS is a pediatric endocrinology pediatrics in Boston, MA. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. DR. Madhusmita Misra, MD, MBBS NPI is 1043291107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 FRUIT ST
YAW 6 PEDIATRIC ENDOCRINE ASSOCIATES
BOSTON, MA
ZIP 02114-621
Phone: (617) 726-2909
Fax: (617) 726-5072

The NPI 1043291107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2005 and was last updated on 7/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics159754MASSACHUSETTSNo
22080P0205XPediatricsPediatric Endocrinology159754MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1204420OTHERHPHC PBO
27285372OTHERAETNA
3J24751OTHERMASSACHUSETTSBCBS MA
4159754OTHERMASSACHUSETTSTUFTS HEALTH PLAN
5A33876MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
60193089MEDICAIDMASSACHUSETTS
71879701 001OTHERCIGNA PAL
8H59967MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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