Hisham Bismar MD PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

HISHAM BISMAR MD PA

Practice address

11807 South Freeway, Ste 362
Fort Worth, TX 76115

Phone

(817) 568-0004

Fax

(817) 568-0804

NPI assigned

Oct 2, 2007

Reactivated

Sep 4, 2026

Organization subpart

No

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

Authorized official

Name

Hisham Bismar, M.D.NPI 1154371078

Title

Medical Doctor/Owner

Phone

(817) 568-0004

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Hisham Bismar MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hisham Bismar MD PA

  • Pulmonary Disease Physician
  • Burleson, TX
  • NPI 1326960394
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hisham Bismar, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Burleson, TX
  • NPI 1154371078

  Pulmonary Disease

  Medicare reassignment NPD Authorized official
• Dayaker Gagadam, M.D.

  • Pulmonary Disease Physician
  • Fort Worth, TX
  • NPI 1093765729
  NPD (past)
• Lalitha Jagadish, M.D.

  • Internal Medicine Physician
  • Burleson, TX
  • NPI 1982654554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1912194135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 SOUTH FREEWAY, STE 362",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-568-0004",
            "fax_number": "817-568-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11807 SOUTH FREEWAY, STE 362",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76115",
            "telephone_number": "817-568-0004",
            "fax_number": "817-568-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISHAM BISMAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "deactivation_date": "2026-07-20",
        "reactivation_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "BISMAR",
        "authorized_official_first_name": "HISHAM",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "817-568-0004",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0052BD",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pulmonary Disease Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pulmonary Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.