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

Sameer Mishra

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578127882

Sameer Mishra is an Emergency Medicine in Greenville, South Carolina. Graduated from Morehouse School of Medicine in 2020, 6 years ago. Practices with The Bortolazzo Group, LLC, a 92-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
6
Trained at
Morehouse School of Medicine
Licensed in
SC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Greenville, SC
Fax: (864) 455-5474

Additional practice locations (2)

  • 420 E Superior St, Chicago, IL 60611-4494 — (312) 503-8649
  • 5246 Brittany Dr, Baton Rouge, LA 70808-9136 — (404) 509-3563

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 89501 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578127882
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 23, 2019
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice The Bortolazzo Group, Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Greenville