Mary Ann Zavisca Bishara, MD

Individual provider Active NPI Anesthesiology Physician · Lewiston, NY

NPI 1528031697 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1528031697
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
84509 (NY)
Practice address
5290 Military Rd
Mt St Mary Medical Arts BLDG Room 6
Lewiston, NY 14092
Phone
(716) 297-2998
Fax
(716) 298-2025
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84509NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Kreymer Medicine PC Anesthesiology Past
since Sep 2, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 84509 NY Yes

Addresses

Primary practice location

5290 Military Rd
Mt St Mary Medical Arts BLDG Room 6
Lewiston, NY 14092

Mailing address

5290 Military Rd
Mt St Mary Medical Arts Room 6
Lewiston, NY 14092
Phone (716) 297-2998

Other identifiers

IdentifierTypeStateIssuer
00589551MedicaidNY

Other providers in Lewiston, NY

All providers in Lewiston, NY · Anesthesiology Physician in New York

Sources for this page

Verify at the official NPI Registry.