BAHER KAMELISHACC BOCTOR M.D.
NPI 1699710129
Specialist in Detroit, MI

Active since June 18, 2006PECOS Enrolled
86.01/100
CMS Quality Rating
3990 JOHN R ST, DETROIT, MI 48201(313) 745-8521 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1699710129
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameBAHER KAMELISHACC BOCTORCredential: M.D.
Location Address3990 JOHN R STDetroit, MI 48201-2018
Mailing AddressPo Box 64000, Dwr 641546Detroit, MI 48264-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 18, 2006
Last NPPES UpdateSeptember 20, 2012
NPI 1699710129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in MI · 4301056652
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3990 JOHN R ST, Detroit, MI 48201

Accepted 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)

Baher Kamelishacc Boctor M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638068687
PECOS Enrollment IDI20040315001198
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 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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
32 services30 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
23 services23 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
20 services20 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
15 services14 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
14 services13 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
12 services12 patients

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, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Medicare 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.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201

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.

What insurance does Baher Boctor accept?

Health plans from 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 13 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.