Michael F Bishara, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

A432060 Issued in CA

Practice address

6896 Magnolia Ave
Riverside, CA 92506-2843

Phone

(951) 787-4885

Fax

(951) 787-4962

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Addiction MedicineAlso: Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael F Bishara MD Inc

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1720200850

  Addiction Medicine

  Medicare reassignment NPD Authorized official
• Clear Vision Out Patient Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Riverside, CA
  • NPI 1356719777
  NPD (past) Authorized official
• Life Vessel Treatment and Recovery

  dba The Mission House

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Mission Viejo, CA
  • NPI 1467968677
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1144311044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6896 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062843",
            "telephone_number": "951-787-4885",
            "fax_number": "951-787-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6896 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062843",
            "telephone_number": "951-787-4885",
            "fax_number": "951-787-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARA",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A432060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720200850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932491271",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akua A Birago
• Wendy L Birchard
• Angela M Bird
• Marianna Birdsong
• Birth Grounded LLC (Birth Grounded Doula)
• Nicole Bishara
• Rebecca C. Bishop, M.D.
• Robert William Bishop
• James D. Bisi, DO
• Mimi Sen Biswas, M.D., MHS

• Addiction Medicine (Internal Medicine) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Addiction Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.