NPIMap

Individual provider Active NPI

Harinder K Bisla, MD

  • Internal Medicine Physician
  • Roseville, CA
National Provider Identifier
1174512685
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A60071 Issued in CA
Practice address
151 N Sunrise Ave
#613
Roseville, CA 95661-2924
Phone
(916) 789-8620
Fax
(916) 789-8619
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A60071 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave
#613
Roseville, CA 95661-2924

Mailing address

151 N Sunrise Ave
Suite 613
Roseville, CA 95661-2924
Phone (916) 789-8620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001523 CA Practitioner - Internal Medicine 7911978192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Gill and Bisla Internal Med Associates IncGroup PAC ID 1052456423, 2 clinicians

Practice addresses (Care Compare)

151 N Sunrise Ave
Suite 613
Roseville, CA 95661-2924

151 N Sunrise Ave
Suite 613
Roseville, CA 95661-2926
Phone (916) 789-8620

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Roseville, CA, CCN 057545
  • Sonder Home Health Care Home health agency, Sacramento, CA, CCN 559201
  • Applied Healthcare Solutions Inc Home health agency, Rancho Cordova, CA, CCN 059731
  • Agapecare Home Health, Inc Home health agency, Rocklin, CA, CCN 053160
  • Progressive Home Care - Auburn Home health agency, Auburn, CA, CCN 557482
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A60071CAMDInternal Medicine Physician

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIECBA/Endpoint/AIECBA
  • Direct secure messaging: hbisla19890@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1174512685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "SUITE 613",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-789-8620",
            "fax_number": "916-789-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "#613",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-789-8620",
            "fax_number": "916-789-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISLA",
        "first_name": "HARINDER",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A60071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.