Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nitin Mishra, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1790940708

Dr. Nitin Mishra, MD is a Colorectal Surgery (Proctology) in Scottsdale, Arizona. Qualified in 2002, 24 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and Minnesota.

Years since qualifying
24
Licensed in
AZ, MN
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone: (480) 301-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 50719 (AZ)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 64938 (MN)

Record details

NPI number1790940708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2008
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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