Organization Active NPI

Bishoy Labib M.D. Inc

  • Neurology Physician
  • Rancho Mirage, CA
National Provider Identifier
1053441618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BISHOY LABIB M.D. INC
Practice address
39000 Bob Hope Dr
Wright Building, Suite 412
Rancho Mirage, CA 92270-3221
Phone
(760) 779-1177
Fax
(760) 779-0099
NPI assigned
Mar 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bishoy Labib, MDNPI 1992723605
Title
President
Phone
(760) 779-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

39000 Bob Hope Dr
Wright Building, Suite 412
Rancho Mirage, CA 92270-3221

Mailing address

2 Clear Lake Dr
Rancho Mirage, CA 92270-5824
Phone (760) 779-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070315000225 CA Part B Supplier - Clinic/Group Practice 7012010887 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053441618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLEAR LAKE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705824",
            "telephone_number": "760-779-1177",
            "fax_number": "760-779-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "WRIGHT BUILDING, SUITE 412",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703221",
            "telephone_number": "760-779-1177",
            "fax_number": "760-779-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOY LABIB M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LABIB",
        "authorized_official_first_name": "BISHOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-779-1177",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.