IndividualActive
Kevin Mishan, DO
NPI 1306595111 · Emergency Medicine Physician · Worcester, MA
Kevin Mishan, DO is a Emergency Medicine Physician provider in Worcester, MA (NPI 1306595111).
Provider details
- NPI number
- 1306595111
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1026042 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-1000
Street-level locationGet directions
Mailing address
281 Lincoln St
Worcester, MA 01605-2138
Additional practice locations (1)
- 4422 3rd AveBronx, NY 10457-2594Phone: (718) 960-6240
Registry dates
- Enumerated
- 2022-03-20
- Last updated
- 2026-04-24
- Certified
- 2026-04-24
Frequently asked questions
- What is Kevin Mishan's NPI number?
- Kevin Mishan's National Provider Identifier (NPI) is 1306595111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Mishan's specialty?
- Kevin Mishan is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kevin Mishan located?
- Kevin Mishan's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Kevin Mishan's phone number?
- The practice phone number listed in the NPPES registry for Kevin Mishan is (508) 334-1000.
- Is Kevin Mishan's NPI active?
- Yes — Kevin Mishan's NPI (1306595111) is active in the NPPES registry as of the last update on 2026-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.