DR. DEREK GLENN BAZEMORE JR. MD
NPI 1639495245
Family Medicine in Miami, FL
About Dr. Derek Glenn Bazemore Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK GLENN BAZEMORE JR. MD (NPI 1639495245) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME107380) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Steward North Shore Medical Center, and is a graduate of New York University School Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Derek Glenn Bazemore Jr. Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Derek Bazemore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Birmingham, AL 35205
- Reassigned Medicare billing, Florida enrollment
- 802 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Steward North Shore Medical Center
Acute Care Hospitals · Miami, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33186 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Derek Bazemore's NPI number?
The NPI number for Derek Bazemore is 1639495245. It was assigned to this individual provider in the NPPES registry on April 8, 2010.
Where is Derek Bazemore located?
Derek Bazemore practices at 12750 SW 128th St Ste 108, Miami, FL 33186. The listed phone number is (917) 750-5709.
What is Derek Bazemore's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Derek Bazemore enrolled in Medicare?
Yes. Derek Bazemore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Derek Bazemore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Bazemore reassigns Medicare benefits to Paragon Contracting Services LLC (Birmingham, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Bazemore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Bazemore accept?
Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Derek Bazemore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Derek Bazemore affiliated with any hospitals?
According to CMS data, Derek Bazemore is affiliated with Steward North Shore Medical Center.
When was this NPI record last updated?
The NPPES record for Derek Bazemore was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Derek Glenn Bazemore Jr., MD · NPI 1639495245
Family Medicine physician in Miami, Florida. Individual provider, active in the CMS NPPES registry since April 8, 2010.
## Identity
- **NPI:** 1639495245 (Entity type: Individual)
- **Enumerated:** April 8, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME107380 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12750 SW 128TH ST STE 108, Miami, FL 33186-5380
- **Phone:** (917) 750-5709
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York University School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** June 14, 2023
- **Other identifiers:** Medicaid 002509700 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1639495245) · Data from the CMS NPPES public registry.