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

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

Practice location Address checks out

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone: (808) 691-3000
Show map & directions

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

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