Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Viviane Mg Bishay, MD

Individual provider Family Medicine Physician · NPI 1689949141

Dr. Viviane Mg Bishay, MD is a Family Practice in Port Orange, Florida. Qualified in 2000, 26 years ago. Practices with Department of State Hospitals, a 276-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
26
Licensed in
IL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5535 S Williamson Blvd Ste 722
Port Orange, FL 32128-8311
Phone: (386) 231-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036128699 (IL)

Record details

NPI number1689949141
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2012
Last updated in NPPESJune 15, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Department Of State Hospitals — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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