Individual provider Active NPI

Bishoy Labib, M.D.

  • Neurology Physician
  • Palm Desert, CA
National Provider Identifier
1992723605
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A79846 Issued in CA
Practice address
72670 Fred Waring Dr
Ste 103
Palm Desert, CA 92260-5012
Phone
(760) 779-1177
Fax
(760) 779-0099
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A79846 CA Primary

Addresses

Primary practice location

72670 Fred Waring Dr
Ste 103
Palm Desert, CA 92260-5012

Mailing address

PO Box 10239
Palm Desert, CA 92255-0239
Phone (760) 779-1177

Other identifiers 1

IdentifierTypeStateIssuer
149988001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070315000218 CA Practitioner - Neurology 7113020983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

72670 Fred Waring Dr
Suite 103
Palm Desert, CA 92260-5012
Phone (760) 779-1177

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as individual
Quality
68.33
Improvement activities
40
Cost
68.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79846CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bishoy Labib M.D. Inc Neurology CurrentSince Aug 21, 2006 Accepting new patients
Desert Neuroscience Institute Neurology Past Accepting new patients

Locations

72670 Fred Waring Dr
Ste 103
Palm Desert, CA 92260
Phone (281) 876-7043

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1992723605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10239",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922550239",
            "telephone_number": "760-779-1177",
            "fax_number": "760-779-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72670 FRED WARING DR",
            "address_2": "STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922605012",
            "telephone_number": "760-779-1177",
            "fax_number": "760-779-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABIB",
        "first_name": "BISHOY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A79846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149988001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.