Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1528050721 Deactivated / Inactive NPI Male Practitioner

Dr. Kabindra N Mishra , MD

Orthopaedic Surgery • Jackson, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kabindra Mishra has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2005
NPI Deactivation Date April 28, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Kabindra Mishra, MD was a registered Orthopaedic Surgery practicing in Jackson, MI. Throughout an active medical career spanning 1 years, Dr. Mishra provided care at the practice location at 1100 E MICHIGAN AVE until profile deactivation on 2006-04-28.

Practice Location & Contact Primary Location

Practice Address

1100 E Michigan Ave
Suite 308

Jackson, MI 492011847

Telephone 5177873900
Fax 5177874318
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.6 Yrs
State Avg: 24.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Jackson, MI (1014 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301033204

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield Mi
381017 (MI)
Commercial Insurance / Payer ID Blue Care Network
P58871 (MI)
Commercial Insurance / Payer ID Medicare Dmerc
1196630001 (MI)
Commercial Insurance / Payer ID Physicians Health Plan
0920070 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Robert Doane , MD

Orthopaedic Surgery

NPI 1578555751

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 1100 E MICHIGAN AVE, SUITE 308, JACKSON, MI 492011847 (Tel: 5177873900)

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Updated Business Mailing Address July 08, 2007

Registered at 1100 E MICHIGAN AVE, SUITE 308, JACKSON, MI 492011847 (Tel: 5177873900)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KABINDRA MISHRA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #4301033204 in MI)

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NPI Profile Deactivated April 28, 2006

Record deactivated on April 28, 2006

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NPI Profile Reactivated April 28, 2006

Record officially reactivated for active practice on April 28, 2006

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Initial NPI Registration & Enumeration August 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528050721
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2005
Last Update: July 08, 2007
Deactivation Date: April 28, 2006
Sole Proprietor: No

Mailing Address

1100 E Michigan Ave, Suite 308

Jackson, MI 492011847

Phone: 5177873900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.