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

Subodh Mishra

Individual provider Hospitalist Physician · NPI 1639663628

Subodh Mishra is a Hospitalist in Ewa Beach, Hawaii. Graduated from University of Hawaii John A. Burns School of Medicine in 2018, 8 years ago. Practices with Queens University Medical Group, a 623-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
8
Trained at
University of Hawaii John A. Burns School of Medicine
Licensed in
HI
In the registry since
2018
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Practice location Address checks out

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone: (808) 691-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 W California Blvd, Pasadena, CA 91105-3010 — (626) 421-7733

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD-22461 (HI)

Record details

NPI number1639663628
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 21, 2018
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolUNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ewa Beach