BAHER KAMELISHACC BOCTOR M.D.
NPI 1699710129
Specialist in Detroit, MI
About Baher Kamelishacc Boctor M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BAHER KAMELISHACC BOCTOR M.D. (NPI 1699710129) is an individual specialist in Detroit, Michigan, licensed in Michigan (4301056652) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Baher Kamelishacc Boctor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Baher Boctor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lapeer, MI 48446
- Reassigned Medicare billing, Michigan enrollment
- 145 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 369 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 8
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIBeaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Baher Boctor's NPI number?
The NPI number for Baher Boctor is 1699710129. It was assigned to this individual provider in the NPPES registry on June 18, 2006.
Where is Baher Boctor located?
Baher Boctor practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-8521.
What is Baher Boctor's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Baher Boctor enrolled in Medicare?
Yes. Baher Boctor is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Baher Boctor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Baher Boctor reassigns Medicare benefits to 3 organizations: Anesthesia Services Associates, PC (Lapeer, MI), Northstar Anesthesia Of Michigan III PLLC (Irving, TX) and Northstar Anesthesia Of Michigan PLLC (Irving, TX). Each 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 Baher Boctor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Baher Boctor accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Baher Boctor 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 Baher Boctor affiliated with any hospitals?
According to CMS data, Baher Boctor is affiliated with Beaumont Hospital - Grosse Pointe and Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Baher Boctor was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Baher Kamelishacc Boctor, M.D. · NPI 1699710129
Specialist provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since June 18, 2006.
## Identity
- **NPI:** 1699710129 (Entity type: Individual)
- **Enumerated:** June 18, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 4301056652 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3990 JOHN R ST, Detroit, MI 48201-2018
- **Phone:** (313) 745-8521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Anesthesia Services Associates, PC (NPI 1497797153, Lapeer, MI); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX); Northstar Anesthesia Of Michigan PLLC (NPI 1871986372, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** September 20, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1699710129) · Data from the CMS NPPES public registry.