NPIMap

Individual provider Active NPI

Oswaldo Bisbal, MD

  • Gastroenterology Physician
  • Lewiston, ME
National Provider Identifier
1487686242
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
017819 Issued in ME
Practice address
77 Bates St Ste 202
Lewiston, ME 04240-7637
Phone
(207) 784-5784
Fax
(207) 784-1477
NPI assigned
Jul 6, 2006
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101238351 VA
Gastroenterology Physician 207RG0100X 017819 ME Primary

Addresses

Primary practice location

77 Bates St Ste 202
Lewiston, ME 04240-7637

Mailing address

77 Bates St Ste 202
Lewiston, ME 04240-7637
Phone (207) 784-5784

Other identifiers 1

IdentifierTypeStateIssuer
433425499MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181204002679 ID Practitioner - Gastroenterology 6901965847 Reassigns benefits to 4 organizations
I20250415004032 TX Practitioner - Gastroenterology 6901965847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Idaho Gastroenterology Associates LLPGroup PAC ID 6002708773, 35 clinicians

Practice addresses (Care Compare)

2235 E Gala St
Meridian, ID 83642-8026
Phone (208) 489-1431

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.09 of 100Reported as group
Quality
77.1
Promoting interoperability
100
Improvement activities
40
Cost
73.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Upper gastrointestinal (GI) endoscopy for acid reflux315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017819MEMDGastroenterology Physician
0101238351VAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Gastroenterology Associates, LLP Gastroenterology CurrentSince Dec 29, 2023 Accepting new patients
Arctic Slope Native Association LTD CurrentSince Jan 1, 2023 Accepting new patients
St Luke's Magic Valley Regional Medical Center LTD Past Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients
Southern Idaho Health Partners LLC Past Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

425 W Bannock St
Boise, ID 83702
Phone (208) 343-1702

2235 E Gala St
Meridian, ID 83642
Phone (208) 489-1431

875 S Vanguard Way
Ste 300
Meridian, ID 83642
Phone (208) 488-0066

875 S Vanguard Way
Ste 310
Meridian, ID 83642
Phone (208) 343-6458

1200 Garrity Blvd
Nampa, ID 83687
Phone (208) 343-6458

1216 Garrity Blvd
Nampa, ID 83687
Phone (208) 342-7169

Organizations & group practices 8

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.

Hospital & facility affiliations 7

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1487686242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BATES ST STE 202",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407637",
            "telephone_number": "207-784-5784",
            "fax_number": "207-784-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BATES ST STE 202",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407637",
            "telephone_number": "207-784-5784",
            "fax_number": "207-784-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBAL",
        "first_name": "OSWALDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101238351",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "017819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433425499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.