NPIMap

Individual provider Active NPI

Michael Bishai, MD

  • Internal Medicine Physician
  • Smithtown, NY
National Provider Identifier
1942409891
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
244844 Issued in NY
Practice address
50 Route 25a
Smithtown, NY 11787-1348
Phone
(516) 550-9865
Fax
(914) 810-1012
NPI assigned
Jul 12, 2007
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244844 NY Primary

Addresses

Primary practice location

50 Route 25a
Smithtown, NY 11787-1348

Mailing address

5 Beach Rd
Massapequa, NY 11758-6614
Phone (516) 550-9865

Other identifiers 2

IdentifierTypeStateIssuer
02909786MedicaidNY
438SV1OtherNYBLUE CROSS BLUE SHIELD PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071119000004 NY Practitioner - Internal MedicinePractitioner - Hospice/Palliative CarePractitioner - Hospitalist 3173611514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care, Hospitalist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Bishai MD, LLCGroup PAC ID 1153693254, 9 clinicians
Southwest Suffolk Medical PCGroup PAC ID 0244396349, 204 clinicians

Practice addresses (Care Compare)

1 Sunrise Dr
East Setauket, NY 11733-3820
Phone (888) 789-1059

1360
Suite 112
Port Jefferson Station, NY 11776-9998
Phone (631) 473-7100

140 Beach 112TH St
Far Rockaway, NY 11694-2401
Phone (718) 634-1886

1725 Brentwood Rd
Brentwood, NY 11717-5543
Phone (631) 273-4531

423 Clay Pitts Rd
East Northport, NY 11731-3801
Phone (631) 368-5252

5 Beach Rd
Massapequa, NY 11758-6614
Phone (516) 550-9865

50 Route 25a
Smithtown, NY 11787-1348
Phone (631) 862-3000

71 Saint Johnland Rd
Smithtown, NY 11787-1461
Phone (631) 210-5464

900 Woodbury Rd
Woodbury, NY 11797-2536
Phone (516) 407-8096

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244844NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Bishai MD, LLC Internal Medicine CurrentSince Jun 10, 2017 Accepting new patients
St. Johnland Nursing Center, Inc. Past Accepting new patients
Hematology and Oncology of Li PLLC Past Accepting new patients
White Oaks Rehabilitation and Nursing Center Past Accepting new patients
Long Island Medical Services P.C. Internal Medicine Past Accepting new patients
Joshua a Falk, D.O., P.C. Internal Medicine Past Accepting new patients

Locations

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maria Regina Rehabilitation and NursingBrentwood, NY, CCN 335837 Skilled nursing facility Adp of the SNF May 9, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 10

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1942409891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BEACH RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586614",
            "telephone_number": "516-550-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871348",
            "telephone_number": "516-550-9865",
            "fax_number": "914-810-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHAI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "244844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02909786",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
            "identifier": "438SV1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.