Individual provider Active NPI

Roman Bish, M.D.

  • Emergency Medicine Physician
  • Wilkes Barre, PA
National Provider Identifier
1881869675
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD441650 Issued in PA
Practice address
575 N River Street
Wilkes-Barre, PA 18702
Phone
(570) 552-1003
NPI assigned
Apr 23, 2008
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD441650 PA Primary

Addresses

Primary practice location

575 N River Street
Wilkes-Barre, PA 18702

Mailing address

519 Haws Ave
Norristown, PA 19401-4542
Phone (610) 551-9506

Other practice location 1

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone (912) 435-6965

Other practice location 2

111 S 11th St
Philadelphia, PA 19107-4824
Phone (215) 955-9837

Other practice location 3

250 S 21st St
Easton, PA 18042-3851
Phone (610) 250-4001

Other practice location 4

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 770-3100

Other identifiers 3

IdentifierTypeStateIssuer
0265489MedicaidNJ
1881869675MedicaidPA
102606690MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110627000474 PA Practitioner - Emergency Medicine 1658559463 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

575 N River St
Wilkes Barre, PA 18764-0001
Phone (570) 829-8111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.3 of 100Reported as group
Quality
74.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD441650PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC CurrentSince Oct 14, 2024 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Feb 15, 2022 Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine CurrentSince Feb 15, 2022 Accepting new patients
Geisinger Clinic Emergency Medicine CurrentSince Oct 14, 2024 Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Gslpg, Inc CurrentSince Sep 16, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Pennsylvania Physician Services, LLC Emergency Medicine Current Accepting new patients
Geisinger Clinic CurrentSince Oct 14, 2024 Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Aug 1, 2020 Accepting new patients
St Luke's Physician Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Geisinger-HM Joint Venture LLC CurrentSince Oct 14, 2024 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

250 S 21st St
Easton, PA 18042
Phone (610) 250-4300

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: rbish335271@direct-sluhn.org

Organizations & group practices 14

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.

View all 14

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1881869675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 HAWS AVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194014542",
            "telephone_number": "610-551-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N RIVER STREET",
            "city": "WILKES-BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-552-1003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Harmon Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Stewart",
            "state": "GA",
            "postal_code": "313145641",
            "country_code": "US",
            "telephone_number": "912-435-6965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S 11th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074824",
            "country_code": "US",
            "telephone_number": "215-955-9837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 S 21st St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180423851",
            "country_code": "US",
            "telephone_number": "610-250-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "746 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Scranton",
            "state": "PA",
            "postal_code": "18510",
            "country_code": "US",
            "telephone_number": "570-770-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISH",
        "first_name": "ROMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD441650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0265489",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881869675",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102606690",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.