BIJAN BASTANINEJAD M.D. – NPI #1972589968
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

BIJAN BASTANINEJAD is a physician located in POPLAR BLUFF, MO. NPPES has assigned the NPI number 1972589968 to BIJAN BASTANINEJAD on December 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 3 years ago on Nov 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BIJAN BASTANINEJAD below.

NPI Profile for
BIJAN BASTANINEJAD

NPI Number
1972589968
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BIJAN BASTANINEJAD
Credentials
M.D.
Primary location
2620 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901-3396
Phone: (573) 785-7721 Fax: (573) 727-2465
2 Other location(s):
610 N One Mile Rd
Dexter, MO 63841-2539
Phone: (573) 624-3600
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone: (573) 776-2000
Mailing address
PO BOX 1308
POPLAR BLUFF, MO 63902-1308
Phone: (573) 843-8380 Fax: (573) 843-8381
Sole Proprietor
No
Updated
Certification Date
Nov 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BIJAN BASTANINEJAD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNAOH7210867
otherANTHEMOH000000488786
otherANTHEMOH000000520832
otherBLUECROSS BLUESHIELDNY237324
otherHPMMI40113
otherPARAMOUNTOH05227
medicaidMI4920459
medicaidMI5202199
medicaidNY02695054
medicaidOH2678446
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
OH 35.088489
208M00000X
- Hospitalist
OH 35.088489
207P00000X
- Emergency Medicine
NY 237324

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
DIRECT ADDRESS
Content Type
Affiliation
N
Endpoint Location
3100 OAK GROVE RD,
POPLAR BLUFF, MO 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.