TAYLOR BAHOORA
NPI 1104632413
Physician Assistant in Detroit, MI

Q: What is Taylor Bahoora's NPI number?

The NPI number for Taylor Bahoora is 1104632413. It was assigned to this individual provider in the NPPES registry on December 10, 2024.

Q: What is Taylor Bahoora's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Taylor Bahoora was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 10, 2024PECOS EnrolledAccepts Medicare Assignment

259 MACK AVE, DETROIT, MI 48201(171) 631-3577 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Taylor Bahoora NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR BAHOORA (NPI 1104632413) is an individual physician assistant in Detroit, Michigan and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2025).

NPPES Registry Identity

NPI1104632413

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTAYLOR BAHOORA

Location Address259 MACK AVEDetroit, MI 48201-2427

Mailing Address259 Mack AveDetroit, MI 48201-2427

Phone(171) 631-3577

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2025

Enumeration DateDecember 10, 2024

Last NPPES UpdateAugust 19, 2025

NPPES CertifiedAugust 19, 2025

✔ NPI 1104632413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

259 MACK AVE, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taylor Bahoora 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.

PECOS PAC ID4385144138

PECOS Enrollment IDI20250826000267

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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