DR. BIBEK RAJ BISTA (NPI# 1528322054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528322054 |
| Entity Type | Individual |
| Full Name | DR. BIBEK RAJ BISTA |
| Credential | M.D. |
| Practice Address |
1102 W Trenton Rd Edinburg TX 78539-9105 |
| Mailing Address |
Po Box 534358 Harlingen TX 78553-4358 |
| Practice Telephone | 9564212414 |
| Mailing Telephone | 9564212414 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
R5366 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1102 W TRENTON RD |
| City | EDINBURG |
| State | TX |
| Zip Code | 78539-9105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316941925 | Nicholas Pereira | Pediatrics | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2005-06-10 |
| 1386267417 | Omar Hernandez Sr. | Respiratory Therapist, Registered | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2020-05-23 |
| 1588126973 | Lydia Gray | Social Worker | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2019-04-03 |
| 1710452735 | Raymond Pajarillo Gumban | Nurse Practitioner | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2018-10-05 |
| 1952884686 | Nehru Fojas Vidal | Physical Therapist | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2018-09-09 |
| 1588140776 | Alfredo Alejandro Martinez | Nurse Practitioner | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2018-07-11 |
| 1730612102 | Ashley Nicole Cruz | Internal Medicine | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2017-04-04 |
| 1871953224 | Emily Ummer | Pediatrics | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2016-02-27 |
| 1528462918 | Gilbert Gagalac | Nurse Practitioner | 1102 W Trenton Rd, Edinburg, TX 78539-9105 | 2014-10-15 |
| 1780964262 | Chinyere Valentina Onyearugbulem | Pediatrics | 1102 W Trenton Rd, Edinburg, TX 78539 | 2011-08-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721782 | Ghizlane Elanbari | Internal Medicine | 502 S. Closner Blvd, Edinburg, TX 78539 | 2020-08-22 |
| 1235751728 | Natalia Cristina Pinto | Student in an Organized Health Care Education/Training Program | 5423 S. Mc Coll Rd, University of Texas Rw Grande Valley - Doctor's Hospita, Edinburg, TX 78539 | 2020-05-07 |
| 1235750092 | Juan Pablo Trejo Pacheco Torres | Student in an Organized Health Care Education/Training Program | 5423 S. Mccoll Rd, Edinburg, TX 78539 | 2020-05-04 |
| 1336775527 | Lifeline Pharmacy 1 LLC | Pharmacy | 2500 W Trenton Road, Suite 12, Edinburg, TX 78539 | 2020-03-19 |
| 1881234045 | Tina Michelle Wisdom | Nurse Practitioner | 5501 Rafael Drive, Edinburg, TX 78539 | 2020-01-15 |
| 1649838178 | Charles Medical Management Services, LLC | Clinical Medical Laboratory | 723 E. University, Edinburg, TX 78539 | 2019-05-30 |
| 1437716289 | Sawyer Lambert | Optometrist | 3804 So. Jackson Road, Suite #4, Edinburg, TX 78539 | 2019-05-28 |
| 1114480837 | Doctors Dermatology and Associates | Dermatology | 2605 W Trenton Rd, Edinburg, TX 78539 | 2019-04-09 |
| 1053872200 | Leonel Vela | Preventive Medicine | Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 | 2019-03-29 |
| 1477025997 | Lee Family Dentistry P.a. | Dentist | 3802 South Business 281, Edinburg, TX 78539 | 2018-12-21 |
| Find all providers in zip 78539 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730636606 | Rgv Pediatric Special Care Pa | Pediatrics | 4302 S Sugar Rd, Ste 205, Edinburg, TX 78539-7073 | 2016-09-07 |
| 1780964262 | Chinyere Valentina Onyearugbulem | Pediatrics | 1102 W Trenton Rd, Edinburg, TX 78539 | 2011-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294654 | Elva Linda Pereida | Pediatrics | 107 Palisades, Portland, TX 78374-4144 | 2018-08-14 |
| 1083156905 | Pediatric Immediate Care of Texas, Pllc | Pediatrics | 3831 E League City Pkwy, Suite A, League City, TX 77573-7155 | 2016-11-09 |
| 1053730226 | Jaime Conrado Silva | Pediatrics | 1911 Holcombe Blvd Apt 1326, Houston, TX 77030-4189 | 2014-04-15 |
| 1144574591 | Amy Sharon Arrington | Pediatrics | 6621 Fannin, W6006, Houston, TX 77030 | 2012-11-07 |
| 1306118013 | Corey Chartan | Pediatrics | One Baylor Plaza, Mail Stop W6-006, Pediatric Critical Care, Houston, TX 77070 | 2012-01-27 |
| 1306172945 | Omar S Arrieta | Pediatrics | Scott & White 4 South Pedi Administration Rm 431, 2401 South 31st Street, Temple, TX 76508-0001 | 2009-11-01 |
| 1396971206 | Kevin Matthew Roy | Pediatrics | 6621 Fannin Street, Wt6-006, Texas Children's Hospital, Pediatrics Intensive Care, Houston, TX 77030 | 2009-06-05 |
| 1609036342 | Loay Y Abdulsamad | Pediatrics | 11322 Bucks Bridge Ln, Sugar Land, TX 77478-0915 | 2008-06-16 |
| 1396911715 | Aarti C Bavare | Pediatrics | 6621 Fannin, Wt6-006, Houston, TX 77030 | 2008-05-06 |
| 1982726741 | Terry Lee Furgiuele | Pediatrics | 4600 Ashville Pl, Amarillo, TX 79119-6452 | 2007-04-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.