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

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1043706518

Supriya Bisht, MD is a Pediatric Medicine in Jackson, Mississippi. Qualified in 2008, 18 years ago. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2018
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

2500 N State St
Jackson, MS 39216-4500
Phone: (888) 815-2005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 33045 (MS)

Record details

NPI number1043706518
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2018
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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