IndividualActive
Poonam Mishra, D.O.
NPI 1306836952 · Adult Medicine Physician · Melbourne, FL
Provider details
- NPI number
- 1306836952
- Entity type
- Individual
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 593360315 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
401 N Wickham Rd
Suite H
Melbourne, FL 32935-8659
Phone: (321) 757-5105
Fax: (321) 757-5104
Street-level locationGet directions
Mailing address
401 N Wickham Rd
Melbourne, FL 32935-8659
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2015-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.