Rima Bishara, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J0920 Issued in TX

Practice address

2115 N 34TH St
Waco, TX 76708-3114

Phone

(254) 755-8577

Fax

(254) 755-0078

NPI assigned

Aug 31, 2006

Last updated

Nov 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rima Bolte Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Optima Medical Group, PA

  • Physical Medicine & Rehabilitation Physician
  • Waco, TX
  • NPI 1861522047
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1194837732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 MEMORIAL DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767111329",
            "telephone_number": "254-297-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N 34TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083114",
            "telephone_number": "254-755-8577",
            "fax_number": "254-755-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARA",
        "first_name": "RIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J0920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11-7378302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIMA",
            "last_name": "BOLTE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bio-Medical Applications of Texas, Inc (BMA Waco)
• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Waco Lakeshore)
• Bio-Medical Applications of Texas, Inc. (Brazos Kidney Disease Center)
• Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care Greenway Kidney Center)
• Bio-Medical Applications of Texas, Inc. (FMC Dialysis Services of Waco West)
• Jenny M Bivona, PH.D.
• Bridget Nicole Black, AUD
• David M Blacklock, DO
• Brentley Kyle Blackmon, PTA
• Miriam Sawaya Blackmon, LMSW

• Internal Medicine Physician in Waco, TX
• Providers in Waco, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.