DR. PUSHPA BISARYA (MD) – Emergency Medicine Physician, NPI 1245218924
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PUSHPA BISARYA (MD)
200 VALLEYOAK CT
BALLWIN, MO 630216550
Phone: (314) 922-9664
Type: Mailing
Doctor Martin Luther King Drive, Jeff-Vander-Lou, City of Saint Louis, Missouri, 63103, United States
SAINT LOUIS, MO 631124265
Phone: (314) 367-5820
Fax: (314) 367-7010
Type: Location
1507 PANAMA LN STE G1001507
BAKERSFIELD, CA 933075682
Phone: (866) 707-6664
Fax: (661) 746-9197
Type: Location
4900 CALIFORNIA AVE STE 400B
BAKERSFIELD, CA 933097081
Phone: (661) 459-1900
Fax: (661) 459-1944
Type: Mailing
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: 2014-06-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20031217000704 | I | Internal Medicine | IL | TBD |
| I20140626001094 | I | Family Practice | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63021)
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