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

Dr. Suprav Mishra, MD

Individual provider Hospitalist Physician · NPI 1497010748

Dr. Suprav Mishra, MD is an Internal Medicine in Dorchester, Massachusetts. Qualified in 2011, 15 years ago. Practices with Bmc Affiliated Physicians, Inc, a 545-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2012
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

2100 Dorchester Ave
Dorchester, MA 02124-5615
Phone: (617) 296-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 252898 (MA)
Hospitalist Physician Taxonomy 208M00000X · Licence 257914 (MA)

Record details

NPI number1497010748
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2012
Last updated in NPPESAugust 31, 2017
Mailing address2100 Dorchester Ave, Dorchester, MA 02124-5615

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Bmc Affiliated Physicians, Inc. — 545 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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