JOHN BISHARA
NPI 1508429622
Oral & Maxillofacial Surgery in New York, NY
About John Bishara NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN BISHARA (NPI 1508429622) is an individual oral & maxillofacial surgery provider in New York, New York, licensed in California (A202254) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Bishara is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Bishara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fresno, CA 93701
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
NEW YORK, NY 10029
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Bishara's NPI number?
The NPI number for John Bishara is 1508429622. It was assigned to this individual provider in the NPPES registry on April 15, 2019.
Where is John Bishara located?
John Bishara practices at 1 Gustave L Levy Pl, New York, NY 10029. The listed phone number is (212) 241-3332.
What is John Bishara's specialty?
The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
Is John Bishara enrolled in Medicare?
Yes. John Bishara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Bishara's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Bishara reassigns Medicare benefits to Head And Neck Associates Of Central California (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Bishara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Bishara accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list John Bishara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Bishara was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Bishara · NPI 1508429622
Oral & Maxillofacial Surgery physician in New York, New York. Individual provider, active in the CMS NPPES registry since April 15, 2019.
## Identity
- **NPI:** 1508429622 (Entity type: Individual)
- **Enumerated:** April 15, 2019
- **Primary specialty:** Oral & Maxillofacial Surgery · taxonomy 204E00000X
- **State license:** A202254 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 GUSTAVE L LEVY PL, New York, NY 10029-6504
- **Phone:** (212) 241-3332
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Head And Neck Associates Of Central California (NPI 1073173860, Fresno, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 2022
## Record status
- **NPPES last updated:** October 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1508429622) · Data from the CMS NPPES public registry.