Individual provider Active NPI

Robert E Bisel, DO

  • Internal Medicine Physician
  • Warren, OH
National Provider Identifier
1831150242
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34003858 Issued in OH
Practice address
349 Niles Cortland Rd NE
Warren, OH 44484-1976
Phone
(330) 372-0260
Fax
(330) 372-0261
NPI assigned
Mar 28, 2006
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3858 OH
Internal Medicine Physician 207R00000X OS005292L PA
Internal Medicine Physician 207R00000X 34003858 OH Primary

Addresses

Primary practice location

349 Niles Cortland Rd NE
Warren, OH 44484-1976

Mailing address

349 Niles Cortland Rd NE
Warren, OH 44484-1976
Phone (330) 372-0260

Other identifiers 2

IdentifierTypeStateIssuer
0682177MedicaidOH
135299OtherANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000017 OH Practitioner - HospitalistPractitioner - Internal Medicine 4587710363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Philadelphia College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert E Bisel DO and Associates LLCGroup PAC ID 4486700267, 4 clinicians

Practice addresses (Care Compare)

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3858OHMDChiropractor
34003858OHMDInternal Medicine Physician
OS005292LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown, LLC Internal Medicine CurrentSince Jul 13, 2013 Accepting new patients
Robert E. Bisel, DO & Associates, LLC Internal Medicine CurrentSince Jul 1, 2003 Accepting new patients
Traditions Hospice of Highland Heights, LLC CurrentSince Feb 1, 2023 Accepting new patients
Mercy Health Physicians Youngstown LLC CurrentSince Jul 13, 2013 Accepting new patients
Dr Larry Woods Inc PastSince May 1, 2020 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

677 Alpha Dr
Ste H
Highland Hgts, OH 44143
Phone (440) 385-2736

349 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 372-0260

667 Eastland Ave SE
Fl 5
Warren, OH 44484
Phone (330) 841-4750

8600 E Market St
Ste 8
Warren, OH 44484
Phone (330) 372-0260

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6840 Carothers Pkwy
Ste 550
Franklin, TN 37067

Interoperability endpoints

  • Direct secure messaging: rbisel34743@direct.bsmhealth.org

Organizations & group practices 6

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 5

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1831150242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841976",
            "telephone_number": "330-372-0260",
            "fax_number": "330-372-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 NILES CORTLAND RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841976",
            "telephone_number": "330-372-0260",
            "fax_number": "330-372-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISEL",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "3858",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS005292L",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34003858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0682177",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "135299",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.