Active NPI
Ram Niwas Bishnoi, MD
- Pediatric Cardiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- ME165205
- Practice address
- 841 Prudential Dr Ste 280
Jacksonville, FL 32207-8350 - Phone
- (904) 202-8550
- Fax
- (904) 393-7808
- NPI assigned
- Aug 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME165205 | FL | |
| Pediatric Cardiology Physician | 2080P0202X | MD443172 | PA | |
| Pediatric Cardiology Physician | 2080P0202X | ME165205 | FL | Primary |
| Pediatrics Physician | 208000000X | MT193347 | PA |
Addresses
Primary practice location
841 Prudential Dr Ste 280
Jacksonville, FL 32207-8350
Mailing address
PO Box 746645
Atlanta, GA 30374-6645
Phone (904) 202-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT193347 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Caring Community Health Center | Current | Accepting new patients | |
| Baptist Specialty Physicians Inc | Pediatric Cardiology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Baptist Specialty Physicians Inc | Pediatric Cardiology | Current | Accepting new patients |
| Caring Community Health Center | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| Geisinger Clinic | Current | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Locations
841 Prudential Dr
Ste 280
Jacksonville, FL 32207
Phone (904) 202-8290
2418 E Plaza Dr
Tallahassee, FL 32308
Phone (850) 629-4861
100 N Academy Ave
Danville, PA 17822
426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- rbishnoi158400@direct-guthrie.org
- rbishnoi159681@direct.nemours.org
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jacksonville, FL
- NPI 1407226228
Pediatric Cardiology
-
- Federally Qualified Health Center (FQHC)
- Wilkes Barre, PA
- NPI 1679038293
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
dba Wolfson Children's Specialty Services
- Pediatric Cardiology Physician
- Jacksonville, FL
- NPI 1184392847
-
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1891547964
-
dba PrimeMed Medical Grp Moosic in collaboration w/Geisinger Clinic
- Family Medicine Physician
- Moosic, PA
- NPI 1427465848
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Cardiovascular Disease Physician
- Sayre, PA
- NPI 1316998487
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737590400000",
"number": "1972759157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746645",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746645",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 PRUDENTIAL DR STE 280",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078350",
"telephone_number": "904-202-8550",
"fax_number": "904-393-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHNOI",
"first_name": "RAM",
"middle_name": "NIWAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-07",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME165205",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "PA",
"license": "MD443172",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "FL",
"license": "ME165205",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MT193347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Kelly Bishop
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.