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DR. DEREK GLENN BAZEMORE JR. MD
NPI 1639495245
Family Medicine in Miami, FL

Active since April 08, 2010PECOS EnrolledAccepts Medicare Assignment
12750 SW 128TH ST STE 108, MIAMI, FL 33186(917) 750-5709 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 14, 2023, May 8, 2023 (2 updates tracked since 2023).

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

NPI1639495245
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DEREK GLENN BAZEMORE JR.Credential: MD
Location Address12750 SW 128TH ST STE 108Miami, FL 33186-5380
Mailing Address55 Sw 9th St Apt 1405Miami, FL 33130-3992 · (917) 750-5709
Phone(917) 750-5709
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2005
Enumeration DateApril 8, 2010
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
✔ NPI 1639495245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME107380
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License ME107380 (FL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME107380 (FL)
12750 SW 128TH ST STE 108, Miami, FL 33186
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Other Identifiers 1

Medicaid002509700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

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.

PECOS PAC ID5799809067
PECOS Enrollment IDI20100824000799
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.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
70 services61 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services19 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

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, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100029
Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County
Emergency services Birthing friendly

Physician 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.

New Patient
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
Most-billed visit code 99214
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 2

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

MABEL MARICHAL PA
Physician Assistant (Medical)
12750 SW 128TH ST STE 108
MIAMI, FL 33186
Miami-Dade County (786) 409-9490
M&V SAN JOSE MEDICAL CENTER LLC
Family Medicine
12750 SW 128TH ST STE 108
MIAMI, FL 33186
Miami-Dade County (786) 713-0970

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.

What insurance does Derek Bazemore accept?

Health plans from Molina 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.