Kay Bishop, M.D.
Individual provider Active NPI Specialist · Rigby, ID
NPI 1699764209 · NPPES record last updated Jun 30, 2010
Key facts
- NPI
- 1699764209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- M-6569 (ID)
- Practice address
- 703 Rigby Lake Dr
Rigby, ID 83442-5192 - Phone
- (208) 745-0200
- Fax
- (208) 745-0212
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 49.43 of 100
- Quality
- 62.61
- Promoting interoperability
- 0
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100220000361 | ID | Practitioner - Dermatology | 7810031432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Valley Dermatology & Dermatologic Surgery PLLC | Current |
Accepting new patients |
Locations
2085 Providence Way
Idaho Falls, ID 83404
Phone (208) 525-4888
703 Rigby Lake Dr
Rigby, ID 83442
Phone (208) 745-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M-6569 | ID | Yes |
Addresses
Primary practice location
703 Rigby Lake Dr
Rigby, ID 83442-5192
Mailing address
703 Rigby Lake Dr
Rigby, ID 83442-5192
Phone (208) 745-0200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002745900 | Medicaid | ID |
Other providers in Rigby, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.