Individual ProviderAbhay MishraHospitalistAllopathic & Osteopathic PhysiciansPractice Address3901 Rainbow Boulevard Hospital Medicine, Kansas City, KS 66160-2017(913) 588-1422PECOS EnrollmentBased on the most recent information from CMS, provider Abhay Mishra is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982129805Provider TypeIndividualFull NameMishra, AbhayCredentialMDGenderMaleSole ProprietorYesEnumeration Date8/11/2017Last Updated7/11/2023Contact InformationPractice LocationPractice Address3901 Rainbow Boulevard Hospital Medicine, Kansas City, KS 66160-2017Phone(913) 588-1422Fax(913) 588-3877Mailing LocationMailing Address3901 Rainbow Blvd Hospital Medicine, Kansas City, KS 66160-8500Phone(913) 588-1422Fax(913) 588-3877Provider TaxonomiesCodeDescriptionLicenseCode208M00000XPrimaryDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense04-47662KansasCode207RH0002XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense2017027308MissouriCode207RN0300XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4351045572MichiganCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer