DR. NAZIUH NAIM BISHAY (M.D.) – Family Medicine Physician, NPI 1114927308

DR. NAZIUH NAIM BISHAY (M.D.) is a healthcare provider. based in Apple valley, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A85839 (CA). The NPI Number for DR. NAZIUH NAIM BISHAY (M.D.) is 1114927308

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. NAZIUH NAIM BISHAY (M.D.)
NPI
1114927308
Phone
(760) 987-3468
Address
11221 DATURA LN
Enumeration Date
28 July 2005
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3102576115
Graduation Year
1986 (40 years ago)
PAC ID
8123097466
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20041001001081
Address ID
CA907103416HA25975AVEX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. NAZIUH NAIM BISHAY (M.D.)

  • Datura Lane, Apple Valley, San Bernardino County, California, 92308, United States

    APPLE VALLEY, CA 923083641

    Phone: (760) 987-3468

    Fax: (760) 951-1609

    Type: Mailing

  • Kaiser Permanente High Desert / Victorville Medical Offices, 14011, Park Avenue, Victorville, San Bernardino County, California, 92392-2403, United States

    VICTORVILLE, CA 923922413

    Phone: (888) 750-0036

    Fax: (909) 427-5033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041001001081IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 92308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

How is DR. NAZIUH NAIM BISHAY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. NAZIUH NAIM BISHAY (M.D.) with NPI 1114927308.
Does CMS list DR. NAZIUH NAIM BISHAY (M.D.) as active?
Yes — DR. NAZIUH NAIM BISHAY (M.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. NAZIUH NAIM BISHAY (M.D.)?
For research purposes, treat DR. NAZIUH NAIM BISHAY (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. NAZIUH NAIM BISHAY (M.D.) based?
DR. NAZIUH NAIM BISHAY (M.D.) is tied to Apple Valley, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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