Individual provider Active NPI

Nicole Michelle Bishko, D. O.

  • Internal Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1982879201
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 9969 Issued in FL
Practice address
8130 66TH St
Suite 1
Pinellas Park, FL 33781-2111
Phone
(727) 544-8300
Fax
(727) 544-8366
NPI assigned
Apr 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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 OS 9969 FL Primary

Addresses

Primary practice location

8130 66TH St
Suite 1
Pinellas Park, FL 33781-2111

Mailing address

8130 66TH St
Suite 1
Pinellas Park, FL 33781-2111
Phone (727) 544-8300

Other names 1

  • Dr. Nicole Michelle Killian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090211000146 FL Practitioner - Internal Medicine 9335204122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10707 66TH St N
Suite a
Pinellas Park, FL 33782-2353
Phone (727) 544-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 9969FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole M Bishko DO PA Internal Medicine CurrentSince Jan 12, 2009 Accepting new patients
Priya G Rao DO PA Internal Medicine Current Accepting new patients
Sarah a Digby DO PA Internal Medicine Current Accepting new patients

Locations

10707 66th St N
Ste A
Pinellas Park, FL 33782
Phone (727) 544-8300

8130 66th St N
Ste 1
Pinellas Park, FL 33781
Phone (727) 544-8300

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1982879201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 66TH ST",
            "address_2": "SUITE 1",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812111",
            "telephone_number": "727-544-8300",
            "fax_number": "727-544-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 66TH ST",
            "address_2": "SUITE 1",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812111",
            "telephone_number": "727-544-8300",
            "fax_number": "727-544-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHKO",
        "first_name": "NICOLE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D. O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 9969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KILLIAN",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.