DEREK BAIR MD - NPI 1174503049 - Pediatrics in Dearborn, MI

Q: What is Derek Bair's NPI number?

The NPI number for Derek Bair is 1174503049. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Q: What is Derek Bair's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Derek Bair was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

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About Derek Bair Md NPPES

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

DEREK BAIR MD (NPI 1174503049) is an individual neonatal-perinatal medicine provider in Dearborn, Michigan, licensed in Michigan (4301062804) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Dearborn.

NPPES Registry Identity

NPI1174503049

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDEREK BAIRCredential: MD

Location Address18101 OAKWOOD BLVD STE 124, DEPT OF NEONATOLOGYDearborn, MI 48124-4089

Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849

Phone(313) 593-7490

Fax(313) 736-2082

Sole ProprietorNo

Enumeration DateJanuary 18, 2006

Last NPPES UpdateFebruary 21, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2024

✔ NPI 1174503049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MI · 4301062804

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

18101 OAKWOOD BLVD STE 124, Dearborn, MI 48124

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Secondary Practice Location 1

Location 118501 Rotunda Dr Ste 200Dearborn, MI 48124-3891 · Phone (313) 996-1960

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Bair Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY ELIZABETH TILBURY NNP

Nurse Practitioner (Neonatal)